Organization
PREVENTATIVE WOUND CARE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVIN REDDY MD (MEDICAL DIRECTOR)
(727) 230-6698
Entity
Organization
Contact information
Practice address
9956 SAGO POINT DR, LARGO, FL 33777-4913
(727) 239-3713
(727) 230-9046
Mailing address
PO BOX 1457, LARGO, FL 33779-1457
(727) 239-3713
(727) 230-9046
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
R300620764440
FL
208D00000X
General Practice Physician
Primary
R300620764440
FL
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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