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Organization
PRECISION WOUND CARE ALLIANCE LLC
Active
Organization
PRECISION WOUND CARE ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS AFABLE (MANAGER)
(502) 299-9624
Entity
Organization
Contact information
Practice address
8515 AMERIVAN DR, LOUISVILLE, KY 40299-1102
(502) 299-9624
Mailing address
20025 SOUTHERN STAR DR, FORT PIERCE, FL 34945-4704
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
05/15/2023
Last updated
09/30/2023
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