Organization
WOUND100 MEDICAL FLORIDA PLLC
Active
Organization
WOUND100 MEDICAL FLORIDA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEAH FORD DPM (MEDICAL DIRECTOR)
(561) 400-5303
Entity
Organization
Contact information
Practice address
20809 NW 17TH ST, PEMBROKE PINES, FL 33029-2304
(561) 400-5303
Mailing address
19681 CHICAGO ST APT A, ELKHORN, NE 68022-6525
(402) 651-6040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
11/10/2025
Last updated
11/14/2025
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