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Organization
ADVANCED WOUND CARE SOLUTION
Active
Organization
ADVANCED WOUND CARE SOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL BERRY (MANAGER)
(469) 915-4211
Entity
Organization
Contact information
Practice address
3800 W BROWARD BLVD STE 101, FORT LAUDERDALE, FL 33312-1018
(804) 282-4181
(804) 288-4184
Mailing address
3800 W BROWARD BLVD STE 101, FORT LAUDERDALE, FL 33312-1018
(804) 282-4181
(804) 288-4184
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
NULL
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/11/2024
Last updated
04/16/2025
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