# HOME WOUND HEALING LLC

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

## Provider details

- **NPI number:** 1255162087
- **Authorized official:** SHARMILLA DAS (MEMBER)
- **Authorized official phone:** (609) 922-3653

## Contact information

- **Practice address:** 4120 5TH AVE N STE 1, ST PETERSBURG, FL 33713-6304
- **Practice address phone:** (609) 922-3653
- **Mailing address:** PO BOX 76219, ST PETERSBURG, FL 33734-6219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2024
- **Last updated:** 08/13/2024