Organization
COORDINATED WOUND CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J MCENANY SR. (CEO)
(800) 515-5817
Entity
Organization
Contact information
Practice address
5150 TIMUQUANA RD, SUITE 3, JACKSONVILLE, FL 32210-8959
(800) 515-5817
Mailing address
5150 TIMUQUANA RD, SUITE 3, JACKSONVILLE, FL 32210-8959
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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