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Organization
HOME WOUND HEALING LLC
Active
Organization
HOME WOUND HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMILLA DAS (MEMBER)
(609) 922-3653
Entity
Organization
Contact information
Practice address
4120 5TH AVE N STE 1, ST PETERSBURG, FL 33713-6304
(609) 922-3653
Mailing address
PO BOX 76219, ST PETERSBURG, FL 33734-6219
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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