| Transitional Wound Care LLC | |
|
2518 Cordoba Ranch Blvd Lutz FL 33559-3915 | |
| (813) 295-6809 | |
| Not Available |
| Full Name | Transitional Wound Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2518 Cordoba Ranch Blvd, Lutz, Florida |
| Authorized Official Name and Position | Richa Sutaria (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8132956809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitional Wound Care LLC 2518 Cordoba Ranch Blvd Lutz FL 33559-3915 Ph: (813) 295-6809 | Transitional Wound Care LLC 2518 Cordoba Ranch Blvd Lutz FL 33559-3915 Ph: (813) 295-6809 |
| NPI Number | 1982575197 |
|---|---|
| Provider Enumeration Date | 09/12/2025 |
| Last Update Date | 09/12/2025 |
| Certification Date | 09/12/2025 |
| Medicare PECOS PAC ID | 2062904436 |
|---|---|
| Medicare Enrollment ID | O20251124000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982575197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Russell Deutscher |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1750745188 PECOS PAC ID: 7517231434 Enrollment ID: I20210401000106 |
| Provider Name | Alex Waldman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1629502364 PECOS PAC ID: 3072934959 Enrollment ID: I20210728000532 |
| Provider Name | Richa Sutaria |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285089649 PECOS PAC ID: 1951689124 Enrollment ID: I20211011001180 |
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