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Organization
PARAGON WOUND CARE
Active
Organization
PARAGON WOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY SMIRNOV (PRESIDENT)
(904) 404-0093
Entity
Organization
Contact information
Practice address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(904) 404-0093
(904) 404-0093
Mailing address
255 RIVERTOWN SHOPS DR STE 102, ST JOHNS, FL 32259-7507
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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