Organization
COASTAL WOUND CARE SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLTON DENNISON (OWNER / PROVIDER)
(205) 344-2044
Entity
Organization
Contact information
Practice address
406 FAIRPOINT DR, GULF BREEZE, FL 32561-4159
(205) 344-2044
Mailing address
1333 COLLEGE PKWY # 1069, GULF BREEZE, FL 32563-2711
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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