| Freedom Wound Physicians Florida | |
|
7171 N University Dr Ste 300 Tamarac FL 33321-2902 | |
| (954) 724-6454 | |
| (954) 724-6488 |
| Full Name | Freedom Wound Physicians Florida |
|---|---|
| Speciality | Internal Medicine |
| Location | 7171 N University Dr Ste 300, Tamarac, Florida |
| Authorized Official Name and Position | Han Pham Hulen (OWNER) |
| Authorized Official Contact | 2149457313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Wound Physicians Florida 1 Chisholm Trail Rd Ste 5200 Round Rock TX 78681-5090 Ph: (512) 202-3830 | Freedom Wound Physicians Florida 7171 N University Dr Ste 300 Tamarac FL 33321-2902 Ph: (954) 724-6454 |
| NPI Number | 1053912550 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 12/01/2023 |
| Medicare PECOS PAC ID | 4284048679 |
|---|---|
| Medicare Enrollment ID | O20210126001823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053912550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Safia A Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265693238 PECOS PAC ID: 9032270251 Enrollment ID: I20081206000008 |
| Provider Name | Han Pham Hulen |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1770593436 PECOS PAC ID: 7719923101 Enrollment ID: I20210126002035 |
| Provider Name | Autumn Savage |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1245598408 PECOS PAC ID: 1951689561 Enrollment ID: I20221110003275 |
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