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General NPI Number Information
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NPI Number | 1760354666
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Entity Type | Organization
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Legal Business Name | INFECTIOUS DISEASE AND WOUND CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1501 N US HIGHWAY 441 STE 1800
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City | THE VILLAGES
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State | FL
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Zip | 32159-6802
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Country | US
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Telephone | 352-751-8820
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Fax | 352-751-8821
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Provider Business Mailing Address
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Address Line | 13637 LAKE CAWOOD DR
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City | WINDERMERE
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State | FL
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Zip | 34786-7002
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Country | US
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Telephone | 224-610-9552
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Fax |
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Authorized Official
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Title or Position | MD/ OWNER
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Name | DR. PANTHIPA LAOWANSIRI
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Credential | MD
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Telephone | 224-610-9552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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