Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aetherus Wound and Lymphatics PLLC

Organization Wound Care Registered Nurse · NPI 1770413445

Aetherus Wound and Lymphatics PLLC is a Wound Care Registered Nurse in Tampa, Florida. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15310 Amberly Dr Ste 195
Tampa, FL 33647-1646
Phone: (813) 212-6517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Wound Care Registered Nurse Taxonomy 163WW0000X

Record details

NPI number1770413445
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loan Lam — Owner · (813) 212-6517
NPI enumeratedMay 22, 2026
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address15303 Amberly Dr Ste C, Tampa, FL 33647-2308

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