Provider Demographics
NPI:1396244646
Name:CORAL SPRINGS HYPERBERIC OXYGEN AND WOUND CARE CENTER LLC
Entity type:Organization
Organization Name:CORAL SPRINGS HYPERBERIC OXYGEN AND WOUND CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNSER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEL
Authorized Official - Suffix:
Authorized Official - Credentials:CHT
Authorized Official - Phone:954-440-6270
Mailing Address - Street 1:PO BOX 8114
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33075-8114
Mailing Address - Country:US
Mailing Address - Phone:954-440-6270
Mailing Address - Fax:305-721-1525
Practice Address - Street 1:8333 W MCNAB
Practice Address - Street 2:107
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321
Practice Address - Country:US
Practice Address - Phone:954-684-8335
Practice Address - Fax:305-721-1525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center