# WOUND MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942606744
- **Authorized official:** DR. FERNANDO ANTELO MD (OWNER/CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (323) 800-2799

## Contact information

- **Practice address:** 2 BORAZON CT, PETALUMA, CA 94952-5289
- **Practice address phone:** (323) 800-2799
- **Practice address fax:** (216) 273-9998
- **Mailing address:** 6150 PARKLAND BLVD STE 225, MAYFIELD HEIGHTS, OH 44124-4103
- **Mailing address phone:** (216) 273-9800
- **Mailing address fax:** (216) 273-9998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2014
- **Last updated:** 02/12/2025