Organization
MOBILE WOUND CARE COLLABORATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITAL MANAGEMENT GROUP LLC (MGR)
(321) 328-9458
Entity
Organization
Contact information
Practice address
13420 PARKER COMMONS BLVD STE 106, FORT MYERS, FL 33912-1973
(321) 328-9458
Mailing address
13420 PARKER COMMONS BLVD STE 106, FORT MYERS, FL 33912-1973
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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