Provider Demographics
NPI:1710985767
Name:REDWOOD, WILLIAM R (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:R
Last Name:REDWOOD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3155 N MCMULLEN BOOTH ROAD
Mailing Address - Street 2:WILLIAM R REDWOOD
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761
Mailing Address - Country:US
Mailing Address - Phone:727-669-9018
Mailing Address - Fax:727-497-4029
Practice Address - Street 1:300 PINELLAS STREET
Practice Address - Street 2:WILLIAM R REDWOOD
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756
Practice Address - Country:US
Practice Address - Phone:727-462-7220
Practice Address - Fax:727-461-8051
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2008-10-07
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Provider Licenses
StateLicense IDTaxonomies
FLME504622085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL048783000Medicaid
FLC49295Medicare UPIN
FL048783000Medicaid