# PHYSICIANS WOUND TREATMENT OF TAMPA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740079136
- **Authorized official:** SANJIV RAO DO (OWNER)
- **Authorized official phone:** (813) 753-6899

## Contact information

- **Practice address:** 15511 N FLORIDA AVE STE A1-A2, TAMPA, FL 33613-1263
- **Practice address phone:** (813) 753-6899
- **Mailing address:** 15515 N FLORIDA AVE \# 101-102, TAMPA, FL 33613-1232
- **Mailing address phone:** (813) 753-6899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2025
- **Last updated:** 12/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | OS11947 | FLORIDABOARDOFOSTEOPATHICMEDICINE | FL |