Provider Demographics
NPI:1689954349
Name:INTEGRATED WOUND SPECIALISTS OF FLORIDA, LLC
Entity Type:Organization
Organization Name:INTEGRATED WOUND SPECIALISTS OF FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORZALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-265-3300
Mailing Address - Street 1:250 SECOND ST EAST
Mailing Address - Street 2:SUITE 4E
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208
Mailing Address - Country:US
Mailing Address - Phone:941-745-7251
Mailing Address - Fax:941-745-6984
Practice Address - Street 1:250 SECOND ST EAST
Practice Address - Street 2:SUITE 4E
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208
Practice Address - Country:US
Practice Address - Phone:941-745-7251
Practice Address - Fax:941-745-6984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty