Provider Demographics
NPI:1164677076
Name:WOOD, ERIC J (ND, MA)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:J
Last Name:WOOD
Suffix:
Gender:M
Credentials:ND, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 NE 2ND CT
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-3812
Mailing Address - Country:US
Mailing Address - Phone:612-910-1780
Mailing Address - Fax:
Practice Address - Street 1:1610 NE 2ND CT
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-3812
Practice Address - Country:US
Practice Address - Phone:612-910-1780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath