Provider Demographics
NPI:1760024988
Name:MARC, WOODELYNE
Entity Type:Individual
Prefix:
First Name:WOODELYNE
Middle Name:
Last Name:MARC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 PALM BEACH LAKES BLVD STE 200A
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3307
Mailing Address - Country:US
Mailing Address - Phone:561-418-3485
Mailing Address - Fax:561-418-3800
Practice Address - Street 1:1307 FLAMINGO DR
Practice Address - Street 2:
Practice Address - City:LANTAN
Practice Address - State:FL
Practice Address - Zip Code:33462
Practice Address - Country:US
Practice Address - Phone:561-543-8034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-09
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health