Provider Demographics
NPI:1194562603
Name:AMERIWOUND PHYSICIANS FL LLC
Entity type:Organization
Organization Name:AMERIWOUND PHYSICIANS FL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:SAMSON
Authorized Official - Middle Name:
Authorized Official - Last Name:FIXLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-273-9800
Mailing Address - Street 1:6150 PARKLAND BLVD STE 225
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4103
Mailing Address - Country:US
Mailing Address - Phone:216-273-9800
Mailing Address - Fax:
Practice Address - Street 1:2916 HABANA WAY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7108
Practice Address - Country:US
Practice Address - Phone:813-876-5141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty