| Florida Lymphedema And Wound Associates | |
|
616 E Altamonte Dr Ste 204 Altamonte Springs FL 32701-4810 | |
| (727) 459-3235 | |
| Not Available |
| Full Name | Florida Lymphedema And Wound Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 616 E Altamonte Dr Ste 204, Altamonte Springs, Florida |
| Authorized Official Name and Position | Christopher A Smith (CEO) |
| Authorized Official Contact | 3472577788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Lymphedema And Wound Associates 14837 Ellingsworth Ln Winter Garden FL 34787-5673 Ph: (347) 257-7788 | Florida Lymphedema And Wound Associates 616 E Altamonte Dr Ste 204 Altamonte Springs FL 32701-4810 Ph: (727) 459-3235 |
| NPI Number | 1114338340 |
|---|---|
| Provider Enumeration Date | 05/09/2014 |
| Last Update Date | 10/20/2021 |
| Medicare PECOS PAC ID | 7618193491 |
|---|---|
| Medicare Enrollment ID | O20140731001295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114338340 | NPI | - | NPPES |
| 009152500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790064863 PECOS PAC ID: 5799915617 Enrollment ID: I20140220000471 |
| Provider Name | Taryn K Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063909315 PECOS PAC ID: 2466702444 Enrollment ID: I20180912003368 |
| Provider Name | Deseiria Wilkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891340618 PECOS PAC ID: 2769712660 Enrollment ID: I20190919000205 |
| Provider Name | Chioma Echeazu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790189207 PECOS PAC ID: 0244646164 Enrollment ID: I20210301001802 |
Gregory P Samano Ii Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 499 E Central Pkwy Ste 100, Altamonte Springs, FL 32701 Phone: 407-543-3461 Fax: 407-678-0627 | |
Mark E. Weigley, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 685 Palm Springs Dr, Suite 1a, Altamonte Springs, FL 32701 Phone: 407-339-5959 Fax: 407-339-5951 | |
Beach Medical X4 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Marcia Dr, Altamonte Springs, FL 32714 Phone: 407-502-0073 | |
Mueller Institute For Holistic Medicine Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Maitland Ave, Ste. 104, Altamonte Springs, FL 32701 Phone: 407-332-5703 Fax: 407-332-5744 | |
Cogent Healthcare Of Pensacola Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E Altamonte Dr, Altamonte Springs, FL 32701 Phone: 407-303-2200 | |
Ocean Blue Medspa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 S Westmonte Dr Ste 1120, Altamonte Springs, FL 32714 Phone: 407-885-1515 | |
Adventhealth Primary Care Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Hope Way, Altamonte Springs, FL 32714 Phone: 407-357-1000 |