Healthcare Provider Details

I. General information

NPI: 1558042390
Provider Name (Legal Business Name): ALL IN ONE WOUND SOLUTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9848 SW 110TH ST
OCALA FL
34481-7651
US

IV. Provider business mailing address

9842 SW 55TH AVENUE RD
OCALA FL
34476-8692
US

V. Phone/Fax

Practice location:
  • Phone: 850-345-9093
  • Fax:
Mailing address:
  • Phone: 850-345-9093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CERILEIN LAMY
Title or Position: OWNER
Credential: ARNP
Phone: 850-345-9093