Organization
APEX MEDICAL OVERSIGHT, PLLC
Active
Other names
United Wound Care Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LACQUA MD (MEMBER)
(917) 301-1699
Entity
Organization
Contact information
Practice address
2418 E YORK ST, PHILADELPHIA, PA 19125-3006
(302) 500-4412
(302) 444-8312
Mailing address
1614 N BODINE ST, PHILADELPHIA, PA 19122-3034
(302) 500-4412
(302) 444-8312
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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