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Organization

SKYLINE WOUND CARE MIDWEST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON PALACIOS (CREDENTIALING COORDINATOR)
(877) 940-7200
Entity
Organization

Contact information

Practice address
7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702
(877) 970-4200
(786) 677-4292
Mailing address
7742 N KENDALL DR # 446, MIAMI, FL 33156-7523
(877) 970-4200
(786) 677-4292

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Enumeration date
12/01/2022
Last updated
03/31/2023
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