| Wound Care Physicians Of Tampa Bay Llc | |
|
5800 49th St N Ste S104-b St Petersburg FL 33709-2146 | |
| (727) 291-1637 | |
| Not Available |
| Full Name | Wound Care Physicians Of Tampa Bay Llc |
|---|---|
| Speciality | Registered Nurse |
| Location | 5800 49th St N Ste S104-b, St Petersburg, Florida |
| Authorized Official Name and Position | Ali Saberi (OWNER) |
| Authorized Official Contact | 7272911637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care Physicians Of Tampa Bay Llc 5800 49th St N Ste S104-b St Petersburg FL 33709-2146 Ph: () - | Wound Care Physicians Of Tampa Bay Llc 5800 49th St N Ste S104-b St Petersburg FL 33709-2146 Ph: (727) 291-1637 |
| NPI Number | 1245056522 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 12/02/2024 |
| Medicare PECOS PAC ID | 6002344272 |
|---|---|
| Medicare Enrollment ID | O20250115003456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245056522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 163WW0000X | Registered Nurse - Wound Care | (* (Not Available)) | Primary |
| Provider Name | Ali Saberi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649495276 PECOS PAC ID: 6709946486 Enrollment ID: I20110512000442 |
| Provider Name | Jennifer L Kundrat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174922769 PECOS PAC ID: 4789588047 Enrollment ID: I20161128001397 |
| Provider Name | Yvanne Belanston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316488240 PECOS PAC ID: 9032496625 Enrollment ID: I20170620000599 |
| Provider Name | Sondra Bantis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780193177 PECOS PAC ID: 8224394036 Enrollment ID: I20180522000110 |
| Provider Name | Dorothy Cassandra Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508498239 PECOS PAC ID: 2163853870 Enrollment ID: I20200513002460 |
| Provider Name | Yisel Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558956359 PECOS PAC ID: 9739589110 Enrollment ID: I20210608000706 |
| Provider Name | Beth Robin Domino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295204741 PECOS PAC ID: 9931592920 Enrollment ID: I20220216000634 |
| Provider Name | Evan Bradlee Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548908874 PECOS PAC ID: 0941684823 Enrollment ID: I20220825003174 |
| Provider Name | Christina Asher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902546674 PECOS PAC ID: 3274904404 Enrollment ID: I20230125002204 |
| Provider Name | Jeanne Dyckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487270971 PECOS PAC ID: 4486043130 Enrollment ID: I20230413001257 |
| Provider Name | Cordelia Okwuosah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578867966 PECOS PAC ID: 8820261381 Enrollment ID: I20230629002991 |
| Provider Name | Tenisia Lashae Tyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750634648 PECOS PAC ID: 7911436514 Enrollment ID: I20250128001694 |
| Provider Name | Athena Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164024030 PECOS PAC ID: 9234679150 Enrollment ID: I20250310003506 |
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