Provider Demographics
NPI:1790548584
Name:BIOHEAL WOUND CARE LLC
Entity Type:Organization
Organization Name:BIOHEAL WOUND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMASELLO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:561-809-9507
Mailing Address - Street 1:PO BOX 212451
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33421-2451
Mailing Address - Country:US
Mailing Address - Phone:561-809-9507
Mailing Address - Fax:
Practice Address - Street 1:2184 S JOG RD # 103
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33415-6093
Practice Address - Country:US
Practice Address - Phone:561-809-9507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty