# INNOVATION WOUND CARE PLLC

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

## Provider details

- **NPI number:** 1861298671
- **Authorized official:** DANIEL LANG (ADMINISTRATOR)
- **Authorized official phone:** (877) 940-7200

## Contact information

- **Practice address:** 7901 4TH ST N, ST PETERSBURG, FL 33702-4305
- **Practice address phone:** (877) 970-4200
- **Mailing address:** 7742 N KENDALL DR STE 446, MIAMI, FL 33156-7523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2025
- **Last updated:** 02/21/2025