MEDICARE: DENNIS JUDE WOOMER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	ME42012	FL

General Provider Information

NPI Number	:	1497283535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS JUDE WOOMER MD

Provider Business Mailing Address
First Line	:	1750 52ND AVE N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33714-2726
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 52ND AVE N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33714-2726
Country	:	US
Telephone Number	:	727-687-4570
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2017
Last Update Date	:	06/02/2017

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Directions to “ DENNIS JUDE WOOMER MD” Practice Location

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