# ADVANCED SKIN AND WOUND CARE LLC

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

## Provider details

- **NPI number:** 1881018794
- **Authorized official:** DR. FADI ELLIAS SABA M.D. (OWNER)
- **Authorized official phone:** (727) 322-1054

## Contact information

- **Practice address:** 1839 CENTRAL AVE, SAINT PETERSBURG, FL 33713-8900
- **Practice address phone:** (727) 322-1054
- **Practice address fax:** (727) 822-8081
- **Mailing address:** 8830 BAYWOOD PARK DR, SEMINOLE, FL 33777-4605
- **Mailing address phone:** (727) 322-1054
- **Mailing address fax:** (727) 822-8081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2014
- **Last updated:** 04/08/2014