Organization · Type 2 NPI
Skyline Wound Care Midwest LLC
Plastic and Reconstructive Surgery Physician · St. Petersburg, FL
NPI number
1295445179
Active
Practice location
7901 4th St N, Ste 300
St. Petersburg, FL 33702
Fax (786) 677-4292
Mailing address
7742 N Kendall Dr # 446
Miami, FL 33156-7523
Other practice locations
- 6900 N Stalworth Dr, Peoria, IL 61615-9444 · (309) 693-1400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1295445179
Skyline Wound Care Midwest LLC's National Provider Identifier is 1295445179, issued on Dec 1, 2022. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 31, 2023.