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Organization
INTEGRATED WOUND CARE FLORIDA PLLC
Active
Organization
INTEGRATED WOUND CARE FLORIDA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE LUSAS MD (AUTHORIZED OFFICIAL)
(732) 451-4318
Entity
Organization
Contact information
Practice address
700 S 29TH ST, FORT PIERCE, FL 34947-3626
(732) 451-4318
Mailing address
492C CEDAR LN STE 514, TEANECK, NJ 07666-1713
(732) 451-4318
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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