# VIP WOUNDCARE INC DBA AZALEA WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245112663
- **Authorized official:** SHELIA MOORE FAINE NURSE PRACTITIONER (OWNER)
- **Authorized official phone:** (678) 468-3856

## Contact information

- **Practice address:** 1600 EVENING SUMMIT CIR, MINNEOLA, FL 34715-9104
- **Practice address phone:** (678) 468-3856
- **Mailing address:** 1683 N HANCOCK RD STE 103-132, MINNEOLA, FL 34715-8189
- **Mailing address phone:** (678) 468-3856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2025
- **Last updated:** 07/24/2025