MEDICARE: DR. MICHAEL WAYNE WOOD D.C.

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	111N00000X	Chiropractor	CH008550	FL

General Provider Information

NPI Number	:	1831258870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL WAYNE WOOD D.C.

Provider Business Mailing Address
First Line	:	328 HOWARD ST W
Second Line	:
City	:	LIVE OAK
State	:	FL
Zip	:	32064-2306
Country	:	US
Telephone Number	:	386-362-2022
Fax Number	:	386-362-2011

Provider Business Practice Location Address
First Line	:	328 HOWARD ST W
Second Line	:
City	:	LIVE OAK
State	:	FL
Zip	:	32064-2306
Country	:	US
Telephone Number	:	386-362-2022
Fax Number	:	386-362-2011

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

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	03/24/2026

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