Organization
CENTRAL FLORIDA WOUND & SKIN CONSULTANTS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY T FIKERT (OFFICE ADMINISTRATOR)
(407) 342-4384
Entity
Organization
Contact information
Practice address
14325 BENDING BRANCH CT, ORLANDO, FL 32824
(407) 359-6426
(407) 359-6426
Mailing address
PO BOX 607521, ORLANDO, FL 32860-7521
(407) 359-6426
(407) 359-6426
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
3110002150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005A
BC BS OF FLORIDA
FL
Enumeration date
09/07/2006
Last updated
09/10/2014
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