Provider Demographics
NPI:1538183058
Name:WOOD, DAVID ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARTHUR
Last Name:WOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4804 26TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207-1705
Mailing Address - Country:US
Mailing Address - Phone:941-753-5730
Mailing Address - Fax:941-753-5737
Practice Address - Street 1:4804 26TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-1705
Practice Address - Country:US
Practice Address - Phone:941-753-5730
Practice Address - Fax:941-753-5737
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2014-01-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME30924207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271047100Medicaid
FLD67277Medicare UPIN
FL271047100Medicaid