# PRECISION WOUND CARE ALLIANCE LLC

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

## Provider details

- **NPI number:** 1336830041
- **Authorized official:** JUAN CARLOS AFABLE (MANAGER)
- **Authorized official phone:** (502) 299-9624

## Contact information

- **Practice address:** 8515 AMERIVAN DR, LOUISVILLE, KY 40299-1102
- **Practice address phone:** (502) 299-9624
- **Mailing address:** 20025 SOUTHERN STAR DR, FORT PIERCE, FL 34945-4704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 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