Innovative Wound Care INC
Clinic/Center in Boca Raton, FL. Organization (NPI-2).
NPI number1649958752
StatusActive
Last updated in NPPESJul 10, 2023
Details
- NPI
- 1649958752
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovative Wound Care INC
- Organization subpart
- No
- Enumeration date
- Jul 10, 2023
- Certification date
- Jul 7, 2023
- Last updated
- Jul 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
19615 Dinner Key DrBoca Raton, FL 33498-4523
Phone 561-990-6033
Mailing address
19615 Dinner Key DrBoca Raton, FL 33498-4523
Authorized official
Shamil Mardanov
President
4408294477
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