Woods, Justin Charles
Woods, Justin Charles is an individual health care provider with primary practice located at 4689 Us Highway 17 Ste 12 , Fleming Island FL 32003-4831. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is his primary health care specialty. Woods, Justin Charles can be contacted via phone (043) 759-7539.Contact Information
Primary practice address
4689 Us Highway 17 Ste 12
Fleming Island FL 32003-4831
Phone: (043) 759-7539
Fax: (904) 375-8380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME141406 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | ME141406 | Florida |
Profile Details
| NPI number | 1649614082 |
|---|---|
| LBN Legal business name | Woods, Justin Charles |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2013 |
| Last updated | May 5th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649614082 | NPPES |
| Florida | Other | XEI0G | FL BLUE |
| Florida | MEDICAID | 103539300 | FL BLUE |
| Florida | Other | LK096 | FL BLUE |
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