Healthcare Provider Details

I. General information

NPI: 1023875754
Provider Name (Legal Business Name): MCS INVENS GROUP HEALTHCARE OF FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 12/22/2024
Certification Date: 12/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2569 SW 119TH WAY
MIRAMAR FL
33025-5694
US

IV. Provider business mailing address

2569 SW 119TH WAY
MIRAMAR FL
33025-5694
US

V. Phone/Fax

Practice location:
  • Phone: 301-875-3993
  • Fax:
Mailing address:
  • Phone: 301-875-3993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARL HWAN WOO
Title or Position: PRESIDENT
Credential: DO
Phone: 301-875-3993