| Renew Wound Care LLC | |
|
17623 Archland Pass Rd Lutz FL 33558-8034 | |
| (813) 267-8616 | |
| Not Available |
| Full Name | Renew Wound Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 17623 Archland Pass Rd, Lutz, Florida |
| Authorized Official Name and Position | Alan Caraway (PRESIDENT) |
| Authorized Official Contact | 8132678616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Wound Care LLC 17623 Archland Pass Rd Lutz FL 33558-8034 Ph: (813) 267-8616 | Renew Wound Care LLC 17623 Archland Pass Rd Lutz FL 33558-8034 Ph: (813) 267-8616 |
| NPI Number | 1265237838 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/26/2025 |
| Certification Date | 02/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265237838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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