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NPI Code Detail

MEDICARE: MEDICAL WOUNDS LLC

MEDICARE: MEDICAL WOUNDS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1275403172
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL WOUNDS LLC
Provider Business Mailing Address
First Line : 850 CONCOURSE PKWY S STE 200
Second Line :
City : MAITLAND
State : FL
Zip : 32751-6145
Country : US
Telephone Number : 407-408-7569
Fax Number :
Provider Business Practice Location Address
First Line : 850 CONCOURSE PKWY S STE 200
Second Line :
City : MAITLAND
State : FL
Zip : 32751-6145
Country : US
Telephone Number : 407-409-7569
Fax Number :
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : MARK GIORGI
Credential : MD
Telephone Number : 407-408-7569
Provider Enumeration Date : 11/06/2025
Last Update Date : 11/06/2025

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Directions to “MEDICAL WOUNDS LLC ” Practice Location

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