Medical Woundcare Specialist | |
3910 S Washington Ave Ste 207 Titusville FL 32780-5800 | |
(321) 210-9698 | |
(321) 225-4326 |
Full Name | Medical Woundcare Specialist |
---|---|
Speciality | Community/Behavioral Health |
Location | 3910 S Washington Ave Ste 207, Titusville, Florida |
Authorized Official Name and Position | Matthew Joseph Figarola (CEO) |
Authorized Official Contact | 3212109698 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Medical Woundcare Specialist 3910 S Washington Ave Ste 207 Titusville FL 32780-5800 Ph: (321) 210-9698 | Medical Woundcare Specialist 3910 S Washington Ave Ste 207 Titusville FL 32780-5800 Ph: (321) 210-9698 |
NPI Number | 1699468520 |
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Provider Enumeration Date | 05/26/2023 |
Last Update Date | 11/06/2024 |
Certification Date | 11/06/2024 |
Medicare PECOS PAC ID | 0840653978 |
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Medicare Enrollment ID | O20230822004278 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699468520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Lawrence Bruce Katt |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1699761098 PECOS PAC ID: 8224027123 Enrollment ID: I20040506001595 |
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