Lightning Mobile Wounds
NPI #1265274740 in Indialantic, Florida
Provider Information
- NPI Number
- 1265274740
- Entity Type
- Organization
- Organization Name
- Lightning Mobile Wounds
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Jun 6, 2024
- Last Updated
- Jun 11, 2024
Practice Location
- Address
- 2230 REEF AVE
- City
- Indialantic
- State
- Florida
- ZIP Code
- 32903-2520
- Phone
- (703) 727-7171
Authorized Official
- Name
- DENISE SHEPLER
- Title
- OWNER
- Phone
- (703) 727-7171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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