Provider Demographics
NPI:1013286202
Name:WOODS CHIROPRACTIC OFFICE, P.A.
Entity Type:Organization
Organization Name:WOODS CHIROPRACTIC OFFICE, P.A.
Other - Org Name:LAKE PARK CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:G
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-845-7292
Mailing Address - Street 1:701 NORTHLAKE BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-5215
Mailing Address - Country:US
Mailing Address - Phone:561-845-7292
Mailing Address - Fax:561-845-9184
Practice Address - Street 1:701 NORTHLAKE BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-5215
Practice Address - Country:US
Practice Address - Phone:561-845-7292
Practice Address - Fax:561-845-9184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003938111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty