| Ocean Wounds FL PLLC | |
|
1900 Summit Blvd Pensacola FL 32503-3359 | |
| (347) 829-6863 | |
| Not Available |
| Full Name | Ocean Wounds FL PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1900 Summit Blvd, Pensacola, Florida |
| Authorized Official Name and Position | Elysse Lerner (OWNER) |
| Authorized Official Contact | 8459017289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Wounds FL PLLC 144 Coles Way Lakewood NJ 08701-4885 | Ocean Wounds FL PLLC 1900 Summit Blvd Pensacola FL 32503-3359 Ph: (347) 829-6863 |
| NPI Number | 1083553150 |
|---|---|
| Provider Enumeration Date | 03/25/2026 |
| Last Update Date | 03/25/2026 |
| Certification Date | 03/25/2026 |
| Medicare PECOS PAC ID | 4385113794 |
|---|---|
| Medicare Enrollment ID | O20260514003894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083553150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Stephanie Ann Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124783568 PECOS PAC ID: 7810380391 Enrollment ID: I20220204000644 |
| Provider Name | Ann Frial Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225572993 PECOS PAC ID: 6507143401 Enrollment ID: I20221013003773 |
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