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Organization
NORTHEAST FLORIDA WOUND CURE AND HYPERBARIC MEDICINE PLLC
Active
Organization
NORTHEAST FLORIDA WOUND CURE AND HYPERBARIC MEDICINE PLLC
Active
Other names
GABLE WOUND CARE AND HYPERBARIC MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY BLAIR FAHNHORST VIDRINE MD (CEO)
(612) 310-8971
Entity
Organization
Contact information
Practice address
205 TRINITY WAY STE 3800, ST JOHNS, FL 32259-1155
(612) 310-8971
Mailing address
101 MARKETSIDE AVE STE 404, PONTE VEDRA, FL 32081-1542
(612) 310-8971
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/20/2025
Last updated
08/28/2026
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