Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X | |||
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI # | 1245056522 |
| LBN Legal business name | WOUND CARE PHYSICIANS OF TAMPA BAY LLC |
| Authorized official | ALI SABERI - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/02/2024 |
| Last updated | 12/02/2024 - More than a year ago |
| Identifiers | n/a |
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