NPI | 1730300179 |
---|---|
Doing Business As | WOUND CARE ON WHEELS |
Entity Type | Organization |
Authorized Contact | DESMOND PATRICK BELL President 904-642-4441 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO0002637) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3099232) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-08-22 |