Provider Demographics
NPI:1003187543
Name:WOODRUFF, GISELA MARIA (PHARM D RPH)
Entity Type:Individual
Prefix:DR
First Name:GISELA
Middle Name:MARIA
Last Name:WOODRUFF
Suffix:
Gender:F
Credentials:PHARM D RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27949 RAVEN BROOK RD
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-2740
Mailing Address - Country:US
Mailing Address - Phone:813-929-7168
Mailing Address - Fax:
Practice Address - Street 1:3890 VAN DYKE RD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-4800
Practice Address - Country:US
Practice Address - Phone:813-269-2814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0032458183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist