| Wound Rx Medical Services Of Florida Llc | |
|
602 S Tamiami Trl Osprey FL 34229-9216 | |
| (786) 531-4702 | |
| Not Available |
| Full Name | Wound Rx Medical Services Of Florida Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 602 S Tamiami Trl, Osprey, Florida |
| Authorized Official Name and Position | Karen Fordham (MANAGING MEMBER) |
| Authorized Official Contact | 7865314702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Rx Medical Services Of Florida Llc 602 S Tamiami Trl Osprey FL 34229-9216 Ph: () - | Wound Rx Medical Services Of Florida Llc 602 S Tamiami Trl Osprey FL 34229-9216 Ph: (786) 531-4702 |
| NPI Number | 1578395380 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 11/20/2024 |
| Medicare PECOS PAC ID | 7315479235 |
|---|---|
| Medicare Enrollment ID | O20241017000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578395380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William Peter Graper |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1952305302 PECOS PAC ID: 9638065568 Enrollment ID: I20050120000094 |
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