Ace Wound Care LLC
Nurse Practitioner, Primary Care in St Petersburg, FL. Organization (NPI-2).
NPI number1225840069
StatusActive
Last updated in NPPESJan 20, 2025
Details
- NPI
- 1225840069
- Entity type
- Organization (NPI-2)
- Legal business name
- Ace Wound Care LLC
- Organization subpart
- No
- Enumeration date
- Jan 20, 2025
- Certification date
- Jan 20, 2025
- Last updated
- Jan 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | Yes |
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | – | – |
Practice location
2026 5th Ave NSt Petersburg, FL 33713-8078
Phone 941-281-5756 · Fax 866-424-0133
Mailing address
2026 5th Ave NSt Petersburg, FL 33713-8078
Phone 941-281-5756 · Fax 866-424-0133
Authorized official
Eric J Roberts
President
6789108116
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