Wound and Medical Outreach Clinic LLC

NPI #1881229532 in Riverview, Florida

Provider Information

NPI Number: 1881229532
Entity Type: Organization
Organization Name: Wound and Medical Outreach Clinic LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Mar 3, 2020
Last Updated: Nov 27, 2023

Practice Location

Address: 12250 BLUE PACIFIC DR
City: Riverview
State: Florida
ZIP Code: 33579-1803
Phone: (813) 777-1591

Authorized Official

Name: JILL M MARSHALL ALLEN
Title: MGMR
Phone: (813) 777-1591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - Wound Care — Wound Care	163WW0000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Physical Therapist	225100000X
Nurse Practitioner	363L00000X	Primary

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