Organization
FANTASTIC WOUND CARE INC
Active
Organization
FANTASTIC WOUND CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLAYEMI OSIYEMI MD (PRESIDENT/PART OWNER)
(561) 725-4100
Entity
Organization
Contact information
Practice address
2580 METROCENTRE BLVD STE 6, WEST PALM BEACH, FL 33407-3100
(561) 602-9988
Mailing address
2580 METROCENTRE BLVD STE 6, WEST PALM BEACH, FL 33407-3100
(561) 725-4100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
FL
261QI0500X
Infusion Therapy Clinic/Center
—
FL
Other
Enumeration date
08/07/2018
Last updated
07/29/2020
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