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NPI Code Detail

MEDICARE: DEPENDABLE WOUND CARE SERVICES, LLC

MEDICARE: DEPENDABLE WOUND CARE SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WW0000XWound Care Registered Nurse
2174400000XSpecialist
3207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1942879945
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEPENDABLE WOUND CARE SERVICES, LLC
Provider Business Mailing Address
First Line : 3595 W 20TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-4533
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3595 W 20TH AVE STE 125
Second Line :
City : HIALEAH
State : FL
Zip : 33012-4537
Country : US
Telephone Number : 305-804-6676
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. FELIPE GASCON
Credential : MD
Telephone Number : 305-804-6676
Provider Enumeration Date : 06/23/2021
Last Update Date : 09/14/2021

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Directions to “DEPENDABLE WOUND CARE SERVICES, LLC ” Practice Location

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