| Swfl Mobile Wound Care Llc | |
|
8696 Ice Wine St Sarasota FL 34238-2403 | |
| (239) 214-9842 | |
| Not Available |
| Full Name | Swfl Mobile Wound Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8696 Ice Wine St, Sarasota, Florida |
| Authorized Official Name and Position | Natalia Capote (MGR) |
| Authorized Official Contact | 7865661561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swfl Mobile Wound Care Llc 8696 Ice Wine St Sarasota FL 34238-2403 Ph: (239) 214-9842 | Swfl Mobile Wound Care Llc 8696 Ice Wine St Sarasota FL 34238-2403 Ph: (239) 214-9842 |
| NPI Number | 1679309389 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 10/16/2024 |
| Medicare PECOS PAC ID | 0941735294 |
|---|---|
| Medicare Enrollment ID | O20241122001558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679309389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jamin Switzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326393075 PECOS PAC ID: 2567616436 Enrollment ID: I20141006001679 |
| Provider Name | Natalia Capote |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518293661 PECOS PAC ID: 8022267806 Enrollment ID: I20150720001532 |
| Provider Name | Kandi Zielinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336821693 PECOS PAC ID: 2668823998 Enrollment ID: I20240110004348 |
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