| Florida Wound & Healing Pa | |
|
2400 Maitland Center Pkwy Ste 310 Maitland FL 32751-7442 | |
| (352) 329-1800 | |
| (352) 329-1810 |
| Full Name | Florida Wound & Healing Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2400 Maitland Center Pkwy Ste 310, Maitland, Florida |
| Authorized Official Name and Position | Dorothy L Watson (PRESIDENT) |
| Authorized Official Contact | 3523291800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Wound & Healing Pa 2400 Maitland Center Pkwy Ste 310 Maitland FL 32751-7442 Ph: (352) 329-1800 | Florida Wound & Healing Pa 2400 Maitland Center Pkwy Ste 310 Maitland FL 32751-7442 Ph: (352) 329-1800 |
| NPI Number | 1487126264 |
|---|---|
| Provider Enumeration Date | 12/18/2018 |
| Last Update Date | 06/04/2025 |
| Medicare PECOS PAC ID | 2860730041 |
|---|---|
| Medicare Enrollment ID | O20190213002284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487126264 | NPI | - | NPPES |
| Provider Name | Dorothy L Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518075407 PECOS PAC ID: 5294823852 Enrollment ID: I20071114000577 |
| Provider Name | Kacian Simone Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508029141 PECOS PAC ID: 2466590492 Enrollment ID: I20101020001257 |
| Provider Name | Grodonoff Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912213935 PECOS PAC ID: 4082856802 Enrollment ID: I20130807000685 |
| Provider Name | Lobaba Habach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689292401 PECOS PAC ID: 5395145247 Enrollment ID: I20210614003128 |
| Provider Name | La'shanda Sunshine Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760165187 PECOS PAC ID: 3476793746 Enrollment ID: I20230906000030 |
| Provider Name | Kayann Namesha Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588350185 PECOS PAC ID: 1456707694 Enrollment ID: I20231025000981 |
| Provider Name | Christina Isabella Courtright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225819998 PECOS PAC ID: 1658727805 Enrollment ID: I20231025001301 |
| Provider Name | Crystal Stephens Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063288025 PECOS PAC ID: 6002265659 Enrollment ID: I20231208000706 |
| Provider Name | Christopher Alexander Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174392732 PECOS PAC ID: 6800237934 Enrollment ID: I20240507003372 |
| Provider Name | Lynn Patricia Christolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265263966 PECOS PAC ID: 4486194925 Enrollment ID: I20240910004963 |
| Provider Name | Magali Rezende De Carvalho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396592283 PECOS PAC ID: 9739614926 Enrollment ID: I20241125002848 |
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