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General NPI Number Information
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NPI Number | 1487126264
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Entity Type | Organization
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Legal Business Name | FLORIDA WOUND & HEALING PA
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2400 MAITLAND CENTER PKWY STE 310
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City | MAITLAND
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State | FL
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Zip | 32751-7442
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Country | US
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Telephone | 352-329-1800
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Fax | 352-329-1810
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Provider Business Mailing Address
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Address Line | 2400 MAITLAND CENTER PKWY STE 310
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City | MAITLAND
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State | FL
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Zip | 32751-7442
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Country | US
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Telephone | 352-329-1800
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Fax | 352-329-1810
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOROTHY L WATSON
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Credential | MSN, APRN-C CWF
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Telephone | 352-329-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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