Healthcare Provider Details

I. General information

NPI: 1407507213
Provider Name (Legal Business Name): CLINICAL WOUND SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2022
Last Update Date: 01/31/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9930 SW 40TH ST
MIAMI FL
33165-3944
US

IV. Provider business mailing address

4960 SW 72ND AVE STE 206
MIAMI FL
33155-5549
US

V. Phone/Fax

Practice location:
  • Phone: 305-226-6265
  • Fax:
Mailing address:
  • Phone: 305-972-3590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSE MD ARMAS
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 305-903-2279