Organization
AT HOME WOUNDCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALONZO GRANT III M.D. (PRESIDENT)
(213) 793-6545
Entity
Organization
Contact information
Practice address
1500 WESTON RD STE 200, WESTON, FL 33326-3264
(347) 563-6066
Mailing address
1500 WESTON RD STE 200, WESTON, FL 33326-3264
(347) 563-6066
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME122443
FL
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
02/07/2017
Last updated
02/26/2025
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