| Fantastic Wound Care Inc | |
|
2580 Metrocentre Blvd Ste 6 West Palm Beach FL 33407-3100 | |
| (561) 602-9988 | |
| Not Available |
| Full Name | Fantastic Wound Care Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 2580 Metrocentre Blvd Ste 6, West Palm Beach, Florida |
| Authorized Official Name and Position | Olayemi Osiyemi (PRESIDENT/PART OWNER) |
| Authorized Official Contact | 5617254100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fantastic Wound Care Inc 2580 Metrocentre Blvd Ste 6 West Palm Beach FL 33407-3100 Ph: (561) 725-4100 | Fantastic Wound Care Inc 2580 Metrocentre Blvd Ste 6 West Palm Beach FL 33407-3100 Ph: (561) 602-9988 |
| NPI Number | 1457830804 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 07/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457830804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Florida) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (Florida) | Secondary |
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