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Organization
PHYSICIANS WOUND TREATMENT OF TAMPA INC
Active
Organization
PHYSICIANS WOUND TREATMENT OF TAMPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJIV RAO DO (OWNER)
(813) 753-6899
Entity
Organization
Contact information
Practice address
15511 N FLORIDA AVE STE A1-A2, TAMPA, FL 33613-1263
(813) 753-6899
Mailing address
15515 N FLORIDA AVE # 101-102, TAMPA, FL 33613-1232
(813) 753-6899
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS11947
FLORIDABOARDOFOSTEOPATHICMEDICINE
FL
Enumeration date
05/02/2025
Last updated
12/23/2025
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