Provider Demographics
NPI:1205576279
Name:WOODY, DON JOSEPH (DO, MS)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:JOSEPH
Last Name:WOODY
Suffix:
Gender:M
Credentials:DO, MS
Other - Prefix:DR
Other - First Name:DONALD
Other - Middle Name:JOSEPH
Other - Last Name:WOODY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO, MS
Mailing Address - Street 1:9330 SR-54 E
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655
Mailing Address - Country:US
Mailing Address - Phone:727-834-4000
Mailing Address - Fax:
Practice Address - Street 1:9332 STATE ROAD 54 STE 301
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-1810
Practice Address - Country:US
Practice Address - Phone:727-940-9391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL390200000X
FL8387207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program