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Timothy Woodward

Internal Medicine

Allopathic & Osteopathic Physicians

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Timothy Woodward is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1396734273
Provider Type
Individual
Full Name
Woodward, Timothy
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
10/13/2005
Last Updated
8/28/2020

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RG0100X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME65996 Florida

Timothy Woodward

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Petrov, Jessica

Chase, Robert Christopher

Keaveny, Andrew

Francis, Fadi

Rodriguez, Andrea

Lewis, Michele D

Yang, Liu

Rosser, Barry

Laoveeravat, Passisd

Brahmbhatt, Bhaumik