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

Skyline Wound Care Midwest LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1295445179

Skyline Wound Care Midwest LLC is a Plastic and Reconstructive Surgery Physician in St Petersburg, Florida. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7901 4th St N Ste 300
St Petersburg, FL 33702
Phone: (877) 970-4200
Fax: (786) 677-4292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6900 N Stalworth Dr, Peoria, IL 61615-9444 — (309) 693-1400

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1295445179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Palacios — Credentialing Coordinator · (877) 940-7200
NPI enumeratedDecember 1, 2022
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023
Mailing address7742 N Kendall Dr # 446, Miami, FL 33156-7523

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