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NPI Code Detail

MEDICARE: ABRAHAM L WOODS III, M.D., PA

MEDICARE: ABRAHAM L WOODS III, M.D., PA
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
1208800000XUrology PhysicianME53129FL

General Provider Information

NPI Number : 1114427705
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABRAHAM L WOODS III, M.D., PA
Provider Business Mailing Address
First Line : 106 BOSTON AVE STE 103
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-4711
Country : US
Telephone Number : 407-830-4777
Fax Number : 407-830-4762
Provider Business Practice Location Address
First Line : 106 BOSTON AVE STE 103
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-4711
Country : US
Telephone Number : 407-830-4777
Fax Number : 407-830-4762
Authorized Official
Title or Position : CLINICAL ADMINISTRATOR
Name : EDDIE JUMPER JR.
Credential :
Telephone Number : 646-408-5860
Provider Enumeration Date : 02/20/2018
Last Update Date : 02/20/2018

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