Provider Demographics
NPI:1073264065
Name:CWP, LLC
Entity Type:Organization
Organization Name:CWP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:LEPORIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-771-7373
Mailing Address - Street 1:4101 N ANDREWS AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-4776
Mailing Address - Country:US
Mailing Address - Phone:631-771-7373
Mailing Address - Fax:
Practice Address - Street 1:4101 N ANDREWS AVE STE 306
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-4776
Practice Address - Country:US
Practice Address - Phone:631-771-7373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies