OrganizationFl Wound Care Medical GroupGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address4728 N Habana Ave Ste 203, Tampa, FL 33614-7147(323) 480-4075PECOS EnrollmentBased on the most recent information from CMS, provider Fl Wound Care Medical Group does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1760109003Provider TypeOrganizationFull NameFl Wound Care Medical GroupSubpartNoEnumeration Date10/27/2022Last Updated10/27/2022Contact InformationPractice LocationPractice Address4728 N Habana Ave Ste 203, Tampa, FL 33614-7147Phone(323) 480-4075FaxUnlisted FaxMailing LocationMailing Address5901 W Century Blvd Ste 750, Los Angeles, CA 90045-5443Phone(323) 480-4075FaxUnlisted FaxAuthorized OfficialNameEllington, Owen Bernardo (President)Phone(713) 304-4227Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted Issuer