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NPI Code Detail

MEDICARE: KRISTY WOOD DC

MEDICARE: KRISTY WOOD DC
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
1111N00000XChiropractorCH9566FL

General Provider Information

NPI Number : 1376781237
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTY WOOD DC
Provider Business Mailing Address
First Line : 851 S STATE ROAD 434
Second Line : SUITE 1200
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-4811
Country : US
Telephone Number : 407-413-5731
Fax Number : 407-413-5732
Provider Business Practice Location Address
First Line : 851 S STATE ROAD 434
Second Line : SUITE 1200
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-4811
Country : US
Telephone Number : 407-413-5731
Fax Number : 407-413-5732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2009
Last Update Date : 06/21/2021

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Directions to “ KRISTY WOOD DC” Practice Location

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