Organization
WOUND CARE STORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A SIMONSON DPM (PRESIDENT)
(321) 638-0880
Entity
Organization
Contact information
Practice address
1950 ROCKLEDGE BLVD, SUITE 109, ROCKLEDGE, FL 32955-3763
(321) 638-0880
(321) 638-2126
Mailing address
1950 ROCKLEDGE BLVD, SUITE 109, ROCKLEDGE, FL 32955-3763
(321) 638-0880
(321) 638-2126
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
FL
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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