Gerald R Woodard DO PA
Gerald R Woodard DO PA is a Non-Pharmacy Dispensing Site in Daytona Beach Shores, Florida. Licensed in Florida. Registered with an NPI since 2014.
- Licensed in
- FL
- In the registry since
- 2014
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3512 S Atlantic AveDaytona Beach Shores, FL 32118-7639
Phone: (386) 767-9544
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence OS4717 (FL) |
|---|
Record details
| NPI number | 1497166417 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Medvantx, Inc |
| Authorized official | Kenny Heine — Vp Of Operations · (858) 964-1506 |
| Other names | Shores Medical Center Daytona |
| NPI enumerated | May 13, 2014 |
| Last updated in NPPES | May 13, 2014 |
| Mailing address | 5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705 |