| NPI | 1730145673 |
|---|---|
| Former Legal Business Name | D/B/A WOUND MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | CHARLES BOOTHBY Owner 727-869-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: FL OS4598) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2015-07-01 |