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Contact Information

FIRST COAST WOUND CARE LLC
9190 AUGUST CIR
SAINT AUGUSTINE, FL32080-8626
 Phone: 904-599-6131
 Fax: 904-341-5529
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FIRST COAST WOUND CARE LLC

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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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