Individual provider · Type 1 NPI

William Shane Woodall, PA-C

Medical Physician Assistant · Fort Lauderdale, FL

NPI number 1619209889 Active

Practice location

305 S Andrews Ave, 601
Fort Lauderdale, FL 33301-1859

Call (954) 767-0273 Map

Mailing address

35 Venetian Way, 94
Miami Beach, FL 33139-8806

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9104825 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1619209889

William Shane Woodall, PA-C's National Provider Identifier is 1619209889, issued on Feb 12, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jun 20, 2013.