Wha Wound Care Fla PC Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WHA WOUND CARE FLA PC CORP

Practice address

8052 NW 161St Ter
Miami Lakes, FL 33016-6655

Phone

(973) 427-9200

NPI assigned

Mar 20, 2023

Last updated

Aug 22, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sekuleo Gathers, MD

Title

Owner

Phone

(973) 427-9200

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1184326589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 NW 154TH ST STE 661",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165814",
            "telephone_number": "973-427-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8052 NW 161ST TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166655",
            "telephone_number": "973-427-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHA WOUND CARE FLA PC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "GATHERS",
        "authorized_official_first_name": "SEKULEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-427-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.