Organization
WFW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA SANTA ANA (OFFICE MANAGER)
(786) 543-3964
Entity
Organization
Contact information
Practice address
12924 SW 103RD CT, MIAMI, FL 33176-5532
(786) 543-3964
Mailing address
3020 NE 41ST TER STE 354, HOMESTEAD, FL 33033-6619
(786) 543-3964
(786) 255-7938
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285908269
PODIATRY
FL
Enumeration date
01/09/2021
Last updated
01/21/2021
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