Physician Wound Associates, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME46577 Issued in FL

Legal business name

PHYSICIAN WOUND ASSOCIATES, LLC

Practice address

9275 SW 152ND St
Suite 208
Palmetto Bay, FL 33157-1701

Phone

(305) 238-7873

Fax

(305) 253-2586

NPI assigned

Jun 5, 2012

Last updated

Dec 5, 2012By 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

Mark Rodz

Title

Partner

Phone

(305) 934-8193

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1336400423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST",
            "address_2": "SUITE 208",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571701",
            "telephone_number": "305-238-7873",
            "fax_number": "305-253-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST",
            "address_2": "SUITE 208",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571701",
            "telephone_number": "305-238-7873",
            "fax_number": "305-253-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN WOUND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "RODZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "305-934-8193"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME46577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.