SKYLINE WOUND CARE MIDWEST LLC – NPI #1295445179
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

SKYLINE WOUND CARE MIDWEST LLC is a surgeon located in SAINT PETERSBURG, FL. NPPES has assigned the NPI number 1295445179 to SKYLINE WOUND CARE MIDWEST LLC on December 01, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 3 years ago on Mar 31, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SKYLINE WOUND CARE MIDWEST LLC below.

NPI Profile for
SKYLINE WOUND CARE MIDWEST LLC

NPI Number
1295445179
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SKYLINE WOUND CARE MIDWEST LLC
Primary location
7901 4TH ST N
STE 300
SAINT PETERSBURG, FL 33702
Phone: (877) 970-4200 Fax: (786) 677-4292
1 Other location(s):
6900 N Stalworth Dr
Peoria, IL 61615-9444
Phone: (309) 693-1400
Mailing address
7742 N KENDALL DR # 446
MIAMI, FL 33156-7523
Phone: (877) 970-4200 Fax: (786) 677-4292
Organization Subpart
No
Authorized Official
SHARON PALACIOS
CREDENTIALING COORDINATOR
Phone: (877) 940-7200
Updated
Certification Date
Mar 31, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.