| Wound Technology Network | |
|
3440 Hollywood Blvd Suite 460 Hollywood FL 33021-6927 | |
| (954) 923-7440 | |
| (954) 923-1299 |
| Full Name | Wound Technology Network |
|---|---|
| Speciality | Podiatrist - Foot Surgery |
| Location | 3440 Hollywood Blvd, Hollywood, Florida |
| Authorized Official Name and Position | Jeffrey L Galitz (CHAIRMAN) |
| Authorized Official Contact | 9549237440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Technology Network 3440 Hollywood Blvd Suite 460 Hollywood FL 33021-6927 Ph: (954) 923-7440 | Wound Technology Network 3440 Hollywood Blvd Suite 460 Hollywood FL 33021-6927 Ph: (954) 923-7440 |
| NPI Number | 1306147095 |
|---|---|
| Provider Enumeration Date | 11/11/2010 |
| Last Update Date | 11/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306147095 | NPI | - | NPPES |
| 06427901 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME49450 (Florida) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | PO1983 (Florida) | Primary |
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