# PHYSICIAN WOUND SOLUTIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Apollo Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235604257
- **Authorized official:** PETER RAVEN (OWNER)
- **Authorized official phone:** (866) 534-4520

## Contact information

- **Practice address:** 5021 S HWY 17/92, CASSELBERRY, FL 32707-3815
- **Practice address phone:** (904) 635-6464
- **Mailing address:** 5021 S HWY 17/92, CASSELBERRY, FL 32707-3815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2018
- **Last updated:** 01/07/2025