Provider Demographics
NPI:1114637816
Name:THE WOUND SPECIALISTS LLC
Entity Type:Organization
Organization Name:THE WOUND SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RIZWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KALWAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-613-6361
Mailing Address - Street 1:7420 NW 5TH ST STE 112
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1611
Mailing Address - Country:US
Mailing Address - Phone:954-613-6361
Mailing Address - Fax:810-202-7988
Practice Address - Street 1:7420 NW 5TH ST STE 112
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1611
Practice Address - Country:US
Practice Address - Phone:954-613-6361
Practice Address - Fax:810-202-7988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty