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NPI Profile for FIRST COAST WOUND CARE LLC in SAINT AUGUSTINE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X | |||
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1720868128 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/03/2023 | |
| Last updated | 10/05/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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FIRST COAST WOUND CARE LLC
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FIRST COAST WOUND CARE LLC