| Advanced Skin And Wound Care Solutions Llc | |
|
2 Zuni Cir Pensacola FL 32507-8725 | |
| (850) 621-3109 | |
| Not Available |
| Full Name | Advanced Skin And Wound Care Solutions Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2 Zuni Cir, Pensacola, Florida |
| Authorized Official Name and Position | Melanie Manney (OWNER) |
| Authorized Official Contact | 8506213109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Skin And Wound Care Solutions Llc 2 Zuni Cir Pensacola FL 32507-8725 Ph: (850) 621-3109 | Advanced Skin And Wound Care Solutions Llc 2 Zuni Cir Pensacola FL 32507-8725 Ph: (850) 621-3109 |
| NPI Number | 1285257402 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 03/11/2022 |
| Medicare PECOS PAC ID | 8426479536 |
|---|---|
| Medicare Enrollment ID | O20200528000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285257402 | NPI | - | NPPES |
| 106126600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Melanie A Manney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584297 PECOS PAC ID: 2769526268 Enrollment ID: I20200528000178 |
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