Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X | |||
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1720868128 |
| LBN Legal business name | FIRST COAST WOUND CARE LLC |
| Authorized official | KRISTI LORD - (AUTHORIZED PERSON) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/03/2023 |
| Last updated | 10/05/2023 - About 3 years ago |
| Identifiers | n/a |
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