Healthcare Provider Details

I. General information

NPI: 1013286202
Provider Name (Legal Business Name): WOODS CHIROPRACTIC OFFICE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2011
Last Update Date: 12/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 NORTHLAKE BLVD SUITE 101
NORTH PALM BEACH FL
33408-5215
US

IV. Provider business mailing address

701 NORTHLAKE BLVD SUITE 101
NORTH PALM BEACH FL
33408-5215
US

V. Phone/Fax

Practice location:
  • Phone: 561-845-7292
  • Fax: 561-845-9184
Mailing address:
  • Phone: 561-845-7292
  • Fax: 561-845-9184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberCH0003938
License Number StateFL

VIII. Authorized Official

Name: DR. RONALD G. WOODS
Title or Position: PRESIDENT
Credential: DC
Phone: 561-845-7292