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Organization
ROA WOUND CARE CORP
Active
Organization
ROA WOUND CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAILET MERINO FORNARIS APC (PROVIDER)
(786) 532-8078
Entity
Organization
Contact information
Practice address
4712 ELDORADO DR, TAMPA, FL 33615-5033
(813) 369-2499
Mailing address
4712 ELDORADO DR, TAMPA, FL 33615-5033
(813) 369-2499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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