| Nexus Wound Consultants Llc | |
|
7901 4th St N Ste 300 St Petersburg FL 33702-4399 | |
| (702) 901-9081 | |
| (830) 365-8018 |
| Full Name | Nexus Wound Consultants Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7901 4th St N Ste 300, St Petersburg, Florida |
| Authorized Official Name and Position | Alicia Walker (COO) |
| Authorized Official Contact | 7029019081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nexus Wound Consultants Llc 7881 W Charleston Blvd Ste 230 Las Vegas NV 89117-8327 Ph: (702) 901-9081 | Nexus Wound Consultants Llc 7901 4th St N Ste 300 St Petersburg FL 33702-4399 Ph: (702) 901-9081 |
| NPI Number | 1629840004 |
|---|---|
| Provider Enumeration Date | 10/27/2023 |
| Last Update Date | 05/20/2024 |
| Medicare PECOS PAC ID | 7719337617 |
|---|---|
| Medicare Enrollment ID | O20231219000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629840004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Raphael J Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760958144 PECOS PAC ID: 5799021622 Enrollment ID: I20190114000934 |
| Provider Name | Karen Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861052557 PECOS PAC ID: 4981936366 Enrollment ID: I20191105000725 |
| Provider Name | Megan Elizabeth Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154020022 PECOS PAC ID: 2466827175 Enrollment ID: I20230412000118 |
| Provider Name | Samuel Jurca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962069203 PECOS PAC ID: 7911237482 Enrollment ID: I20230817000288 |
| Provider Name | Keturah Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730854472 PECOS PAC ID: 6406209543 Enrollment ID: I20240125001125 |
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