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Contact Information

RENEW WOUND CARE OF FLORIDA LLC
3648 UNIVERSITY BLVD S
JACKSONVILLE, FL32216-4208
 Phone: 929-491-7700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for RENEW WOUND CARE OF FLORIDA LLC · (Female)

NPI # 1811631591
Status Active
Credentials
Entity Individual
Enumeration date 04/27/2022
Last updated 10/18/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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