Healthcare Provider Details

I. General information

NPI: 1568088862
Provider Name (Legal Business Name): HYPERBARIC & WOUNDCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2020
Last Update Date: 06/23/2020
Certification Date: 06/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 BRANTLEY ST
OPP AL
36467-1702
US

IV. Provider business mailing address

6919 N DALE MABRY HWY STE 250
TAMPA FL
33614-3860
US

V. Phone/Fax

Practice location:
  • Phone: 813-238-7540
  • Fax: 813-932-7940
Mailing address:
  • Phone: 813-238-7540
  • Fax: 813-932-7940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAVINDRA R PATEL
Title or Position: OWNER
Credential: MD
Phone: 813-933-3324