Provider Demographics
NPI:1487602744
Name:WOODS, DONALD R (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:R
Last Name:WOODS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:7200 EAST CYPRESSHEAD DR
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-1614
Mailing Address - Country:US
Mailing Address - Phone:954-340-0705
Mailing Address - Fax:
Practice Address - Street 1:7886 WEST SAMPLE RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4710
Practice Address - Country:US
Practice Address - Phone:954-752-6465
Practice Address - Fax:954-752-6591
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0043555207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D63242Medicare UPIN
944482Medicare ID - Type Unspecified