Healthcare Provider Details

I. General information

NPI: 1407343601
Provider Name (Legal Business Name): SKYLINE WOUND CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2018
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 DUTCHMANS LN
EASTON MD
21601-3342
US

IV. Provider business mailing address

7756 N KENDALL DR # 446
MIAMI FL
33156-7523
US

V. Phone/Fax

Practice location:
  • Phone: 877-940-7200
  • Fax:
Mailing address:
  • Phone: 877-940-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: AMANI HEMPHILL
Title or Position: OWNER
Credential: MD
Phone: 443-803-6830