| Integrated Wound Care Florida Pllc | |
|
700 S 29th St Fort Pierce FL 34947-3626 | |
| (732) 451-4318 | |
| Not Available |
| Full Name | Integrated Wound Care Florida Pllc |
|---|---|
| Speciality | General Practice |
| Location | 700 S 29th St, Fort Pierce, Florida |
| Authorized Official Name and Position | Diane Lusas (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7324514318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wound Care Florida Pllc 492c Cedar Ln Ste 514 Teaneck NJ 07666-1713 Ph: (732) 451-4318 | Integrated Wound Care Florida Pllc 700 S 29th St Fort Pierce FL 34947-3626 Ph: (732) 451-4318 |
| NPI Number | 1699356964 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 04/19/2021 |
| Medicare PECOS PAC ID | 2163821828 |
|---|---|
| Medicare Enrollment ID | O20210528001780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699356964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Linda Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588890859 PECOS PAC ID: 2567612948 Enrollment ID: I20121019000471 |
| Provider Name | Melissa Giarratano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740643592 PECOS PAC ID: 2062839517 Enrollment ID: I20200828000424 |
| Provider Name | Pauline Delinois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275183931 PECOS PAC ID: 1658785142 Enrollment ID: I20210125000800 |
| Provider Name | Norma L Goodrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669087722 PECOS PAC ID: 7214345115 Enrollment ID: I20210414000381 |
| Provider Name | Diane Lusas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730475658 PECOS PAC ID: 9032430640 Enrollment ID: I20210528001847 |
| Provider Name | Henria Fain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487836680 PECOS PAC ID: 3072813401 Enrollment ID: I20220707000525 |
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