| Organization Name: | WOODLAND LAKES FAMILY PRACTICE PA |
| NPI Number: | 1083806269 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE M HUDSON (OWNER) |
| Mailing Address: | 13000 Avalon Lake Dr Suite 100 Orlando |
| State: | FL US |
| Postal Code: | 328286434 |
| Phone Number: | 3212350970 |
| Fax Number: | 3212350971 |
| NPI Enumeration Date: | 08/13/2007 |
| NPI Last Update Date: | 08/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0S5964 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |