MEDICARE: DR. KADEN DEVOE WOOLF DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO4636	FL

General Provider Information

NPI Number	:	1245989359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KADEN DEVOE WOOLF DPM

Provider Business Mailing Address
First Line	:	500 NW 43RD ST STE 2
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32607-6126
Country	:	US
Telephone Number	:	352-376-5112
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 NW 43RD ST STE 2
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32607-6126
Country	:	US
Telephone Number	:	352-376-5112
Fax Number	:

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

Provider Enumeration Date	:	03/23/2022
Last Update Date	:	06/25/2025

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