| The Wound Specialists Llc | |
|
7420 Nw 5th St Ste 112 Plantation FL 33317-1611 | |
| (954) 613-6361 | |
| (810) 202-7988 |
| Full Name | The Wound Specialists Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7420 Nw 5th St Ste 112, Plantation, Florida |
| Authorized Official Name and Position | Rizwan Kalwar (OWNER) |
| Authorized Official Contact | 9546136361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wound Specialists Llc 7420 Nw 5th St Ste 112 Plantation FL 33317-1611 Ph: (954) 613-6361 | The Wound Specialists Llc 7420 Nw 5th St Ste 112 Plantation FL 33317-1611 Ph: (954) 613-6361 |
| NPI Number | 1114637816 |
|---|---|
| Provider Enumeration Date | 12/02/2022 |
| Last Update Date | 02/02/2024 |
| Medicare PECOS PAC ID | 4587016621 |
|---|---|
| Medicare Enrollment ID | O20240115000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114637816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rizwan R Kalwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831488402 PECOS PAC ID: 9830374289 Enrollment ID: I20150820011024 |
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