| NPI | 1073231353 |
|---|---|
| Doing Business As | BEDSIDE WOUND CARE |
| Entity Type | Organization |
| Authorized Contact | GLORIED EBSWORTH Provider 305-781-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2023-01-27 |