# EVOLUTION WOUND MANAGEMENT OF FL PA

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

## Provider details

- **NPI number:** 1922975846
- **Authorized official:** JOSHUA ALAN EMDUR D.O (MEDICAL DIRECTOR)
- **Authorized official phone:** (800) 914-3592

## Contact information

- **Practice address:** 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
- **Practice address phone:** (800) 914-3592
- **Practice address fax:** (800) 897-1470
- **Mailing address:** 242 W 53RD ST APT 48E, NEW YORK, NY 10019-7895
- **Mailing address phone:** (800) 914-3592
- **Mailing address fax:** (800) 897-1470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2025
- **Last updated:** 10/23/2025