| Florida Wound Care Jj | |
|
131 S New York Ave Ste 131 Winter Park FL 32789-4233 | |
| (479) 685-8837 | |
| Not Available |
| Full Name | Florida Wound Care Jj |
|---|---|
| Speciality | General Practice |
| Location | 131 S New York Ave Ste 131, Winter Park, Florida |
| Authorized Official Name and Position | Joel Jones (OWNER) |
| Authorized Official Contact | 4796858837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Wound Care Jj 131 S New York Ave Ste 131 Winter Park FL 32789-4233 Ph: () - | Florida Wound Care Jj 131 S New York Ave Ste 131 Winter Park FL 32789-4233 Ph: (479) 685-8837 |
| NPI Number | 1245937259 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 02/09/2023 |
| Medicare PECOS PAC ID | 2264891407 |
|---|---|
| Medicare Enrollment ID | O20231010000964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245937259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mark Ian Cockburn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891761128 PECOS PAC ID: 6103972492 Enrollment ID: I20120501000329 |
| Provider Name | Sarah Mcgregor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164823043 PECOS PAC ID: 7214157338 Enrollment ID: I20141013000505 |
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