Organization
ADVANCE WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POOPAK BAKHTIARI MD (OWNER)
(717) 555-4154
Entity
Organization
Contact information
Practice address
4649 PONCE DE LEON BLVD STE 406, CORAL GABLES, FL 33146-2121
(717) 345-7415
Mailing address
4649 PONCE DE LEON BLVD STE 406, CORAL GABLES, FL 33146-2121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
04/04/2025
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