Provider Demographics
NPI:1730678418
Name:ONSITE WOUND PHYSICIANS INC
Entity Type:Organization
Organization Name:ONSITE WOUND PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CULOSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-290-2405
Mailing Address - Street 1:6509 NW 128TH WAY
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-1991
Mailing Address - Country:US
Mailing Address - Phone:954-290-2405
Mailing Address - Fax:
Practice Address - Street 1:2929 N UNIVERSITY DR STE 110
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065
Practice Address - Country:US
Practice Address - Phone:954-290-2405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty