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Organization
WOUND THERAPY PROFESSIONALS, INC
Active
Organization
WOUND THERAPY PROFESSIONALS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAL NIZAN ARNP-C (PRESIDENT)
(813) 966-4722
Entity
Organization
Contact information
Practice address
12750 JUDY ST, DADE CITY, FL 33525-8323
(813) 966-4722
Mailing address
PO BOX 290046, TEMPLE TERRACE, FL 33687-0046
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 1927792
FL
Other
Enumeration date
02/25/2008
Last updated
10/16/2013
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