Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gerald R Woodard DO PA

Organization Family Medicine Physician · NPI 1114111440

Gerald R Woodard DO PA is a Family Medicine Physician in Daytona Beach Shores, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3512 S Atlantic Ave
Daytona Beach Shores, FL 32118-7639
Phone: (386) 767-9544
Fax: (386) 756-0501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS4717 (FL)

Record details

NPI number1114111440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Woodard — President · (386) 767-9544
Other names Shores Medical Center
NPI enumeratedAugust 29, 2007
Last updated in NPPESAugust 29, 2007
Mailing address3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639

Other providers in Daytona Beach Shores