Provider Demographics
NPI:1487095998
Name:WOODS, IRMA LEE (BS)
Entity type:Individual
Prefix:
First Name:IRMA
Middle Name:LEE
Last Name:WOODS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SW 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33493-1929
Mailing Address - Country:US
Mailing Address - Phone:561-261-6871
Mailing Address - Fax:
Practice Address - Street 1:1551 FORUM PL STE 400D&E
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2319
Practice Address - Country:US
Practice Address - Phone:561-616-8411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator