Healthcare Provider Details

I. General information

NPI: 1336010883
Provider Name (Legal Business Name): ANGEL MARIE WOODEN MS, LCGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGEL MARIE SERAFINI MS

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 N 35TH AVE FL 2
HOLLYWOOD FL
33021-5403
US

IV. Provider business mailing address

520 S PARK RD APT 12-34
HOLLYWOOD FL
33021-8397
US

V. Phone/Fax

Practice location:
  • Phone: 954-265-6319
  • Fax: 954-276-0166
Mailing address:
  • Phone: 321-262-1644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberTGC831
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: