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Organization
SOUTHWEST FLORIDA MOBILE WOUND CARE LLC
Active
Organization
SOUTHWEST FLORIDA MOBILE WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEKAAEL MAHMOUD OTR/L (MANAGING MEMBER)
(239) 214-9842
Entity
Organization
Contact information
Practice address
21208 WAYMOUTH RUN, ESTERO, FL 33928-3243
(401) 256-9997
(239) 361-2780
Mailing address
21208 WAYMOUTH RUN, ESTERO, FL 33928-3243
(401) 256-9997
(239) 361-2780
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
12/29/2023
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