| Renew Wound Care Of Florida Llc | |
|
3648 University Blvd S Jacksonville FL 32216-4208 | |
| (929) 491-7700 | |
| Not Available |
| Full Name | Renew Wound Care Of Florida Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3648 University Blvd S, Jacksonville, Florida |
| Authorized Official Name and Position | Joseph Wiesenfeld (ADMINISTRATOR) |
| Authorized Official Contact | 7184088860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Wound Care Of Florida Llc 1481 Mcdonald Ave Brooklyn NY 11230-4667 Ph: (929) 491-7700 | Renew Wound Care Of Florida Llc 3648 University Blvd S Jacksonville FL 32216-4208 Ph: (929) 491-7700 |
| NPI Number | 1811631591 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 10/18/2023 |
| Medicare PECOS PAC ID | 1951788256 |
|---|---|
| Medicare Enrollment ID | O20220505002450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811631591 | NPI | - | NPPES |
| Provider Name | Frances Vitalis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356446116 PECOS PAC ID: 5193793651 Enrollment ID: I20040922000465 |
| Provider Name | Jill Marie Marshall Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205877560 PECOS PAC ID: 2466408844 Enrollment ID: I20050330000118 |
| Provider Name | Virginia R Lemoyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699905240 PECOS PAC ID: 7618014705 Enrollment ID: I20091021000844 |
| Provider Name | Denise A Quallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528477411 PECOS PAC ID: 8729383633 Enrollment ID: I20160301001155 |
| Provider Name | Charles Keefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861935967 PECOS PAC ID: 7315227972 Enrollment ID: I20161217000077 |
| Provider Name | Brenda Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114472834 PECOS PAC ID: 7214210970 Enrollment ID: I20170203001866 |
| Provider Name | Marilyn Bellamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891241535 PECOS PAC ID: 7517236615 Enrollment ID: I20170705002873 |
| Provider Name | Kenneth Phillip Additon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528589173 PECOS PAC ID: 7517223761 Enrollment ID: I20171106000038 |
| Provider Name | Sandra J Northway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487166021 PECOS PAC ID: 7416219225 Enrollment ID: I20180314001864 |
| Provider Name | Dianna G Dashner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235388448 PECOS PAC ID: 5193087682 Enrollment ID: I20180321001005 |
| Provider Name | Wilda Isnor Piquion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326564931 PECOS PAC ID: 4880940006 Enrollment ID: I20180702000715 |
| Provider Name | Sheron J Farinha Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972991123 PECOS PAC ID: 9638495641 Enrollment ID: I20180917000472 |
| Provider Name | Natacha Blanchet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346718947 PECOS PAC ID: 8921344359 Enrollment ID: I20190107001083 |
| Provider Name | Nancy Ayad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679935217 PECOS PAC ID: 0446589402 Enrollment ID: I20190917001829 |
| Provider Name | Nordian Shanae Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720624372 PECOS PAC ID: 1153750393 Enrollment ID: I20200409000188 |
| Provider Name | Brenda Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073158747 PECOS PAC ID: 6204266778 Enrollment ID: I20200423002605 |
| Provider Name | Lyse N Laurin-pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265751853 PECOS PAC ID: 1456584200 Enrollment ID: I20200514000718 |
| Provider Name | Melanie A Manney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584297 PECOS PAC ID: 2769526268 Enrollment ID: I20200528000178 |
| Provider Name | Maureen A Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356827554 PECOS PAC ID: 1557784311 Enrollment ID: I20200713000887 |
| Provider Name | Deshawn Deloris Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508409855 PECOS PAC ID: 8628494143 Enrollment ID: I20200814000969 |
| Provider Name | Tiffany Varela Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205451705 PECOS PAC ID: 4284044256 Enrollment ID: I20201103000062 |
| Provider Name | Molly K Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619580842 PECOS PAC ID: 0244641843 Enrollment ID: I20201203001893 |
| Provider Name | Renny Kuriakose Thoppil Wattkis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710517438 PECOS PAC ID: 7618385311 Enrollment ID: I20210419001306 |
| Provider Name | Maria Auxiliador Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275032997 PECOS PAC ID: 4385904309 Enrollment ID: I20210625002481 |
| Provider Name | Diadema Barefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407424294 PECOS PAC ID: 1850795311 Enrollment ID: I20210804004076 |
| Provider Name | Lisa M Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043838451 PECOS PAC ID: 6901296243 Enrollment ID: I20211201000904 |
| Provider Name | Lillian Christine Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275296055 PECOS PAC ID: 3971997354 Enrollment ID: I20220301000822 |
| Provider Name | Maky Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457803637 PECOS PAC ID: 3072981281 Enrollment ID: I20221118002767 |
| Provider Name | Yanet Carballosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932828308 PECOS PAC ID: 8325418262 Enrollment ID: I20230110001862 |
| Provider Name | Gertrudis Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144887589 PECOS PAC ID: 9931570231 Enrollment ID: I20230124003608 |
| Provider Name | Ardo Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427758689 PECOS PAC ID: 7012382138 Enrollment ID: I20230403002055 |
| Provider Name | Antonio Roki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548835176 PECOS PAC ID: 6507266970 Enrollment ID: I20231110000086 |
| Provider Name | Kristy L Maracle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184309379 PECOS PAC ID: 0446608392 Enrollment ID: I20231202000762 |
| Provider Name | Marco T Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861191926 PECOS PAC ID: 2365890258 Enrollment ID: I20231204001399 |
| Provider Name | Savannah Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467123745 PECOS PAC ID: 5395128003 Enrollment ID: I20231205002700 |
| Provider Name | Carin Melanie Calabrese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023899572 PECOS PAC ID: 5799228847 Enrollment ID: I20240618002204 |
| Provider Name | Noslen Perez Machado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053034512 PECOS PAC ID: 2860927456 Enrollment ID: I20241119003328 |
| Provider Name | Alain Portal Menendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891410353 PECOS PAC ID: 5294265641 Enrollment ID: I20250213003687 |
| Provider Name | Marie M Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073335006 PECOS PAC ID: 7214458934 Enrollment ID: I20250310002844 |
Rogers Cain Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9390 Lem Turner Rd, Jacksonville, FL 32208 Phone: 904-766-2953 Fax: 904-766-2993 | |
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Baptist Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave Ste 103, Jacksonville, FL 32202 Phone: 904-353-5696 Fax: 904-390-7483 | |
Reginald L. Sykes, Sr, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3160 Edgewood Ave W, Jacksonville, FL 32209 Phone: 904-768-8222 Fax: 904-482-0373 |