Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | ME62509 | FL |
NPI | 1285607242 |
---|---|
Provider Name | Dr. Rhonda L Woolwine |
First Address | Salt Lake City, UT 84145-0443 |
Second Address | Orange Park, FL 32073-5554 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 21/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
372079900 | (05) | FL |