| Tri County Wound Care Llc | |
|
2628 Forest Hill Blvd West Palm Beach FL 33406-5931 | |
| (786) 351-4493 | |
| Not Available |
| Full Name | Tri County Wound Care Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2628 Forest Hill Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Carlos Reyes Chouza (OWNER) |
| Authorized Official Contact | 7863514493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Wound Care Llc 2628 Forest Hill Blvd West Palm Beach FL 33406-5931 Ph: (786) 351-4493 | Tri County Wound Care Llc 2628 Forest Hill Blvd West Palm Beach FL 33406-5931 Ph: (786) 351-4493 |
| NPI Number | 1538900709 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 6800331398 |
|---|---|
| Medicare Enrollment ID | O20240709001495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538900709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Carlos Reyes Chouza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174092035 PECOS PAC ID: 0840521738 Enrollment ID: I20191007003576 |
| Provider Name | Yaima Rubio Ravelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205553518 PECOS PAC ID: 9537533898 Enrollment ID: I20230328001784 |
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