MEDICARE: TRESA G WOOD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1053269803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRESA G WOOD

Provider Business Mailing Address
First Line	:	3026 AUCTION DR
Second Line	:
City	:	MARIANNA
State	:	FL
Zip	:	32448-7714
Country	:	US
Telephone Number	:	850-499-5126
Fax Number	:

Provider Business Practice Location Address
First Line	:	2441 US HIGHWAY 98 W STE 104B
Second Line	:
City	:	SANTA ROSA BEACH
State	:	FL
Zip	:	32459-5386
Country	:	US
Telephone Number	:	850-499-5126
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “ TRESA G WOOD ” Practice Location

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