Healthcare Provider Details

I. General information

NPI: 1780511139
Provider Name (Legal Business Name): JOSHUA WOOD TELE MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 OPPORTUNITY DR STE A
MILTON FL
32583-8727
US

IV. Provider business mailing address

8100 OPPORTUNITY DR STE A
MILTON FL
32583-8727
US

V. Phone/Fax

Practice location:
  • Phone: 561-423-9926
  • Fax:
Mailing address:
  • Phone: 561-423-9926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA WILLIAM ANCEL WOOD
Title or Position: OWNER
Credential:
Phone: 574-780-6975