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Organization

ORIGIN ADVANCED HEALING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENE CARACO (ADMINISTRATOR)
(813) 454-5587
Entity
Organization

Contact information

Practice address
441 APOLLO BEACH BLVD, APOLLO BEACH, FL 33572-2281
(813) 454-5587
Mailing address
441 APOLLO BEACH BLVD, APOLLO BEACH, FL 33572-2281

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary

Other

Enumeration date
07/10/2025
Last updated
07/10/2025
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