Organization
WOUNDGUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN PICKEL (AUTHORIZED OFFICIAL)
(310) 910-7038
Entity
Organization
Contact information
Practice address
150 S PINE ISLAND RD STE 415, PLANTATION, FL 33324-2667
(833) 752-8300
Mailing address
32173 FIRESIDE DR, TEMECULA, CA 92592-5154
(909) 732-8527
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
11/26/2024
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