Randly Lysander Woods in Macclenny - Psychiatry

Randly Lysander Woods - NPI 1689680662

Randly Lysander Woods is a Psychiatry in Macclenny, Florida. Randly Lysander Woods practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Randly Lysander Woods is 1689680662. The last update date is 2011-08-08.

Randly Lysander Woods's current location address is 7487 S State Road 121, Macclenny, Florida. You can contact this provider via phone number 9042596211 and fax number 9042597104. The mailing address for Randly Lysander Woods is 7487 S State Road 121, Macclenny, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Randly Lysander Woods
Address 7487 S State Road 121, Macclenny, Florida
Phone Number 9042596211
Fax Number 9042597104
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1689680662
Provider Enumeration Date 2006-07-31
Last Updated Date 2011-08-08

Provider Mailing Address Detail

Address 7487 S State Road 121
City Macclenny
State Florida (FL)
Post Code 320635451
Phone Number 9042596211
Fax Number 9042597104

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 08-00277
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3141300 FL --

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FAQs about Randly Lysander Woods

What is the unique 10-digit identifier code assigned to Randly Lysander Woods by the Centers for Medicare & Medicaid Services?

The Randly Lysander Woods has been issued the NPI (National Provider Identifier) 1689680662 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Randly Lysander Woods's physical address?

The Randly Lysander Woods is physically located at 7487 S State Road 121, in the city of Macclenny, FL, with the postal code 320635451.

What is the Randly Lysander Woods's specialty and taxonomy code?

The Randly Lysander Woods's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.

When did the Randly Lysander Woods receive its 1689680662?

The Randly Lysander Woods was issued its 1689680662 on 2006-07-31, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Randly Lysander Woods most recently updated or revised?

The details related to Randly Lysander Woods, including its address, specialty, and other relevant information, were last updated or revised on 2011-08-08.

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