Healthcare Provider Details

I. General information

NPI: 1891909073
Provider Name (Legal Business Name): LINDA ANN WOODARD D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8770 SW 72ND ST # 285
MIAMI FL
33173-3512
US

IV. Provider business mailing address

8770 SW 72ND ST # 285
MIAMI FL
33173-3512
US

V. Phone/Fax

Practice location:
  • Phone: 786-768-1875
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberFL OS 7472
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: