Wound Care Associates Llc | |
5130 Linton Blvd Ste G1 Delray Beach FL 33484-6597 | |
(561) 330-4695 | |
Not Available |
Full Name | Wound Care Associates Llc |
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Speciality | Internal Medicine |
Location | 5130 Linton Blvd Ste G1, Delray Beach, Florida |
Authorized Official Name and Position | Eugeno Rodriguez (PRESIDENT) |
Authorized Official Contact | 9547967914 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wound Care Associates Llc Po Box 9816 Coral Springs FL 33075-0816 Ph: (954) 796-7914 | Wound Care Associates Llc 5130 Linton Blvd Ste G1 Delray Beach FL 33484-6597 Ph: (561) 330-4695 |
NPI Number | 1255755542 |
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Provider Enumeration Date | 02/07/2014 |
Last Update Date | 02/19/2015 |
Medicare PECOS PAC ID | 7618294984 |
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Medicare Enrollment ID | O20150325001456 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255755542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0061779 (Florida) | Primary |
Provider Name | Eugenio Rodriguez |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1508921172 PECOS PAC ID: 6305029414 Enrollment ID: I20110328000659 |
Provider Name | Jorge S Szauer |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1972809879 PECOS PAC ID: 7810144615 Enrollment ID: I20120830000214 |
Provider Name | Nir J Hus |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1699081117 PECOS PAC ID: 2264683978 Enrollment ID: I20121106000222 |
Provider Name | She L Wong |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1942207576 PECOS PAC ID: 3072562438 Enrollment ID: I20150415002287 |
Provider Name | Kimberly Harris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043751449 PECOS PAC ID: 5092074617 Enrollment ID: I20180104002071 |
Provider Name | Joshua Adrian Simon |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1356766554 PECOS PAC ID: 2961748231 Enrollment ID: I20190107003254 |
Provider Name | Lucia N. Carranza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073049730 PECOS PAC ID: 5496092553 Enrollment ID: I20190128001413 |
Provider Name | Jeanmarie Almonor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851898514 PECOS PAC ID: 5395082465 Enrollment ID: I20190128001763 |
Provider Name | Sarah Lipsey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487111928 PECOS PAC ID: 9931432838 Enrollment ID: I20190607002015 |
Provider Name | Steven Trisker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124514534 PECOS PAC ID: 0941552913 Enrollment ID: I20200930000203 |
Provider Name | Renny Kuriakose Thoppil Wattkis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710517438 PECOS PAC ID: 7618385311 Enrollment ID: I20210419001306 |
Provider Name | Meliza Commond |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679249197 PECOS PAC ID: 6103213988 Enrollment ID: I20220426000369 |
Provider Name | Oscar A Rojas |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1669001152 PECOS PAC ID: 9537522651 Enrollment ID: I20230831000776 |
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