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Gerald R Woodard Do PA

Non-Pharmacy Dispensing Site in Daytona Beach Shores, FL · enumerated 2014 · authorized official Kenny Heine, Vp of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497166417

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Registry record

Entity type Organization (Type 2)
Legal business name Gerald R Woodard Do PA
Other name <Unavail>
Parent organization Medvantx, Inc,
Practice address 3512 S Atlantic Ave, Daytona Beach Shores, FL, 32118
Phone (386) 767-9544
Enumeration date May 13, 2014
Last updated in NPPES May 13, 2014

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License OS4717 (FL) Primary

Authorized official

Name Kenny Heine
Title Vp of Operations
Phone (858) 964-1506

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Gerald R Woodard Do PA?
NPPES lists Kenny Heine (Vp of Operations) as the authorized official for this organization.
What is the NPI number for Gerald R Woodard Do PA?
The NPI for Gerald R Woodard Do PA is 1497166417, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-13.