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Organization

VIP WOUNDCARE INC DBA AZALEA WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELIA MOORE FAINE NURSE PRACTITIONER (OWNER)
(678) 468-3856
Entity
Organization

Contact information

Practice address
1600 EVENING SUMMIT CIR, MINNEOLA, FL 34715-9104
(678) 468-3856
Mailing address
1683 N HANCOCK RD STE 103-132, MINNEOLA, FL 34715-8189
(678) 468-3856

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
07/24/2025
Last updated
07/24/2025
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