Woundtech Of Louisiana, INC
General Practice in Hollywood, FL. Organization (NPI-2).
NPI number1164038592
StatusActive
Last updated in NPPESSep 21, 2020
Details
- NPI
- 1164038592
- Entity type
- Organization (NPI-2)
- Legal business name
- Woundtech Of Louisiana, INC
- Organization subpart
- No
- Enumeration date
- Sep 21, 2020
- Certification date
- Sep 21, 2020
- Last updated
- Sep 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
200 S Park Rd Ste 200Hollywood, FL 33021-8541
Phone 954-923-7440 · Fax 954-923-1299
Mailing address
200 S Park Rd Ste 200Hollywood, FL 33021-8541
Phone 954-923-7440 · Fax 954-923-1299
Authorized official
Jeffrey L Galitz
Ceo/Chief Medical Officer
9549237440
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