Healthcare Provider Details

I. General information

NPI: 1982434726
Provider Name (Legal Business Name): US WOUND CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2024
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2664 TAMIAMI TRL E
NAPLES FL
34112-5707
US

IV. Provider business mailing address

4970 SW 72ND AVE STE 107
MIAMI FL
33155-5558
US

V. Phone/Fax

Practice location:
  • Phone: 239-428-1010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: EDUARDO G DIAZ
Title or Position: MANAGING MEMBER
Credential:
Phone: 305-834-2762