Provider Demographics
NPI:1215536149
Name:REFLECTIONS WOUND CARE AND WELLNESS CENTERS
Entity Type:Organization
Organization Name:REFLECTIONS WOUND CARE AND WELLNESS CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MONTICONE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:904-612-4848
Mailing Address - Street 1:7011 A C SKINNER PKWY STE 145
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6954
Mailing Address - Country:US
Mailing Address - Phone:904-612-4848
Mailing Address - Fax:
Practice Address - Street 1:7011 A C SKINNER PKWY STE 145
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-6954
Practice Address - Country:US
Practice Address - Phone:904-612-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty