| Tallahassee Mobile Wound Care Llc | |
|
8696 Ice Wine St Sarasota FL 34238-2403 | |
| (850) 345-8383 | |
| Not Available |
| Full Name | Tallahassee Mobile Wound Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8696 Ice Wine St, Sarasota, Florida |
| Authorized Official Name and Position | Natalia Capote (MGR) |
| Authorized Official Contact | 8503458383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallahassee Mobile Wound Care Llc 8696 Ice Wine St Sarasota FL 34238-2403 Ph: (850) 345-8383 | Tallahassee Mobile Wound Care Llc 8696 Ice Wine St Sarasota FL 34238-2403 Ph: (850) 345-8383 |
| NPI Number | 1396563037 |
|---|---|
| Provider Enumeration Date | 10/01/2024 |
| Last Update Date | 10/08/2024 |
| Medicare PECOS PAC ID | 1658805981 |
|---|---|
| Medicare Enrollment ID | O20241108003852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396563037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Natalia Capote |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518293661 PECOS PAC ID: 8022267806 Enrollment ID: I20150720001532 |
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