Healthcare Provider Details

I. General information

NPI: 1497442560
Provider Name (Legal Business Name): WOUNDMD FLORIDA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 MAITLAND CENTER COMMONS BLVD STE 213
MAITLAND FL
32751-7270
US

IV. Provider business mailing address

1009 MAITLAND CENTER COMMONS BLVD STE 213
MAITLAND FL
32751-7270
US

V. Phone/Fax

Practice location:
  • Phone: 833-469-6349
  • Fax: 407-720-4253
Mailing address:
  • Phone: 833-469-6349
  • Fax: 407-720-4253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: SYED NAQVI
Title or Position: OWNER
Credential:
Phone: 703-861-1966