Healthcare Provider Details
I. General information
NPI: 1205130911
Provider Name (Legal Business Name): VOHRA WOUND PHYSICIANS OF FL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/10/2011
Last Update Date: 10/12/2021
Certification Date: 10/12/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3900 WESTERRE PKWY
RICHMOND VA
23233-1478
US
IV. Provider business mailing address
3601 SW 160TH AVE SUITE 250
MIRAMAR FL
33027-6308
US
V. Phone/Fax
- Phone: 877-866-7123
- Fax:
- Phone: 305-866-7123
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AMEET
VOHRA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-866-7123