Organization
FIRST COAST WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI LORD FNP (AUTHORIZED PERSON)
(352) 650-3446
Entity
Organization
Contact information
Practice address
9190 AUGUST CIR, SAINT AUGUSTINE, FL 32080-8626
(904) 599-6131
(904) 341-5529
Mailing address
9190 AUGUST CIR, SAINT AUGUSTINE, FL 32080-8626
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/03/2023
Last updated
10/05/2023
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