Healthcare Provider Details

I. General information

NPI: 1518082262
Provider Name (Legal Business Name): MONICA O WOODWARD MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1865 VETERANS PARK DR STE 301
NAPLES FL
34109-0447
US

IV. Provider business mailing address

1865 VETERANS PARK DR STE 301
NAPLES FL
34109-0447
US

V. Phone/Fax

Practice location:
  • Phone: 239-254-1233
  • Fax: 239-254-1255
Mailing address:
  • Phone: 239-254-1233
  • Fax: 239-254-1255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. MONICA O WOODWARD
Title or Position: PRESIDENT
Credential: MD
Phone: 239-254-1233