| West Coast Wound Care Specialists, Llc | |
|
4407 24th Ave E Palmetto FL 34221-6343 | |
| (810) 599-1837 | |
| Not Available |
| Full Name | West Coast Wound Care Specialists, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4407 24th Ave E, Palmetto, Florida |
| Authorized Official Name and Position | Kristi Cay Kita (OWNER) |
| Authorized Official Contact | 9419330223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Wound Care Specialists, Llc 4407 24th Ave E Palmetto FL 34221-6343 Ph: (941) 933-0223 | West Coast Wound Care Specialists, Llc 4407 24th Ave E Palmetto FL 34221-6343 Ph: (810) 599-1837 |
| NPI Number | 1356067375 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 08/03/2023 |
| Medicare PECOS PAC ID | 9638546401 |
|---|---|
| Medicare Enrollment ID | O20221108000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356067375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kristi Cay Kita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770039372 PECOS PAC ID: 5597053843 Enrollment ID: I20161019001982 |
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