| Bluebyrd Wound And Lymphatic Care And Consultation Services Llc | |
|
3374 Winchester Estates Cir Lakeland FL 33810-4364 | |
| (863) 509-8328 | |
| Not Available |
| Full Name | Bluebyrd Wound And Lymphatic Care And Consultation Services Llc |
|---|---|
| Speciality | Registered Nurse |
| Location | 3374 Winchester Estates Cir, Lakeland, Florida |
| Authorized Official Name and Position | Stacey C Mcintyre (MANAGER) |
| Authorized Official Contact | 8136832277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebyrd Wound And Lymphatic Care And Consultation Services Llc 3374 Winchester Estates Cir Lakeland FL 33810-4364 Ph: (863) 509-8328 | Bluebyrd Wound And Lymphatic Care And Consultation Services Llc 3374 Winchester Estates Cir Lakeland FL 33810-4364 Ph: (863) 509-8328 |
| NPI Number | 1740064724 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 10/06/2023 |
| Medicare PECOS PAC ID | 2062867831 |
|---|---|
| Medicare Enrollment ID | O20231013002242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740064724 | NPI | - | NPPES |
| Provider Name | Byron R Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104851559 PECOS PAC ID: 1658396494 Enrollment ID: I20051011000176 |
| Provider Name | Nathalie Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083885453 PECOS PAC ID: 4880761832 Enrollment ID: I20080917000656 |
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