Healthcare Provider Details

I. General information

NPI: 1275403172
Provider Name (Legal Business Name): MEDICAL WOUNDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 CONCOURSE PKWY S STE 200
MAITLAND FL
32751-6145
US

IV. Provider business mailing address

850 CONCOURSE PKWY S STE 200
MAITLAND FL
32751-6145
US

V. Phone/Fax

Practice location:
  • Phone: 407-409-7569
  • Fax:
Mailing address:
  • Phone: 407-408-7569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK GIORGI
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 407-408-7569