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Organization

CRESCENT WOUND CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMED KADRY-HASSANEIN MD (OWNER)
(858) 967-3070
Entity
Organization

Contact information

Practice address
765 W NASA BLVD, MELBOURNE, FL 32901-1815
(321) 733-5725
(321) 733-5799
Mailing address
5580 LA JOLLA BLVD STE 622, LA JOLLA, CA 92037-7651
(858) 221-7726
(858) 431-4736

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
04/09/2026
Last updated
04/17/2026
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