Organization
PHYSICIANS WOUND TREATMENT OF TAMPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJIV RAO DO (OWNER)
(813) 753-6899
Entity
Organization
Contact information
Practice address
15511 N FLORIDA AVE STE A1-A2, TAMPA, FL 33613-1263
(813) 753-6899
Mailing address
15515 N FLORIDA AVE # 101-102, TAMPA, FL 33613-1232
(813) 753-6899
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS11947
FLORIDABOARDOFOSTEOPATHICMEDICINE
FL
Enumeration date
05/02/2025
Last updated
12/23/2025
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