Healthcare Provider Details

I. General information

NPI: 1285554949
Provider Name (Legal Business Name): WOOD MEDICAL CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15300 NW 32ND AVE
OPA LOCKA FL
33054-2523
US

IV. Provider business mailing address

15300 NW 32ND AVE
OPA LOCKA FL
33054-2523
US

V. Phone/Fax

Practice location:
  • Phone: 970-504-5725
  • Fax:
Mailing address:
  • Phone: 970-504-5725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: YOORI CHARLOT
Title or Position: MANAGER
Credential:
Phone: 970-504-5725