Organization
PI: PREVENTION AND INTERVENTION WOUND CARE AND DERMATOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA GARY JACKSON ARNP-C (OWNER)
(813) 340-5499
Entity
Organization
Contact information
Practice address
10420 MCKINLEY DR APT 9312, TAMPA, FL 33612-6448
(813) 340-5499
Mailing address
10420 MCKINLEY DR APT 9312, TAMPA, FL 33612-6448
(813) 340-5499
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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