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Organization
SKP WOUND CARE OF FLORIDA LLC
Active
Organization
SKP WOUND CARE OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER STOUT (MANGER)
(337) 315-7927
Entity
Organization
Contact information
Practice address
108 SOUTHERN OAKS DR STE B, PLANT CITY, FL 33563-1446
(337) 581-2612
Mailing address
304 E PINE ST STE 1037, LAKELAND, FL 33801-4969
(337) 581-2612
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
06/26/2025
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