Organization
INTEGRATED WOUND CARE FLORIDA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE LUSAS MD (AUTHORIZED OFFICIAL)
(732) 451-4318
Entity
Organization
Contact information
Practice address
700 S 29TH ST, FORT PIERCE, FL 34947-3626
(732) 451-4318
Mailing address
492C CEDAR LN STE 514, TEANECK, NJ 07666-1713
(732) 451-4318
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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