Mr Randly Lysander Woods, MD | |
7487 S State Road 121, Macclenny, FL 32063-5451 | |
(904) 259-6211 | |
(904) 259-7104 |
Full Name | Mr Randly Lysander Woods |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 7487 S State Road 121, Macclenny, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689680662 | NPI | - | NPPES |
003141300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 08-00277 (Kansas) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | ME102215 (Florida) | Primary |
Entity Name | Apalachee Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548360993 PECOS PAC ID: 3577556604 Enrollment ID: O20040405001882 |
Mailing Address | Practice Location Address |
---|---|
Mr Randly Lysander Woods, MD 7487 S State Road 121, Macclenny, FL 32063-5451 Ph: (904) 259-6211 | Mr Randly Lysander Woods, MD 7487 S State Road 121, Macclenny, FL 32063-5451 Ph: (904) 259-6211 |
Mr. James Timothy Damiani, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 990-425-9621 Fax: 904-259-7104 | |
Dr. Muhammad Asghar Ali Shah, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Mr. Toribio M Duhaylungsod, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Mr. Sergio M. Arcey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Dr. Judith Hallstrom, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Olga Ines Arias, D. O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 |