Woodard, Randy Dale

Woodard, Randy Dale is an sole proprietor health care provider with primary practice located at 5971 Terrace Park Dr N Unit 108, Saint Petersburg FL 33709-1181. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Woodard, Randy Dale can be contacted via phone (727) 742-8172.

Contact Information

Primary practice address
5971 Terrace Park Dr N Unit 108 Saint Petersburg FL 33709-1181
Phone: (727) 742-8172
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 5185890 Florida
Nursing Service Providers / Licensed Practical Nurse 164W00000X 219819-1 New York

Profile Details

NPI number 1275892234
LBN Legal business name Woodard, Randy Dale
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2012
Last updated May 11th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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