Provider Demographics
NPI:1639293715
Name:WOODY, RONALD HARLAN II (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:HARLAN
Last Name:WOODY
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1720 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:MOORE HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33471-9549
Mailing Address - Country:US
Mailing Address - Phone:863-946-2881
Mailing Address - Fax:863-946-2881
Practice Address - Street 1:1720 RIVER RD
Practice Address - Street 2:
Practice Address - City:MOORE HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33471-9549
Practice Address - Country:US
Practice Address - Phone:863-946-2881
Practice Address - Fax:863-946-2881
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME9089207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology