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

Wound and Medical Outreach Clinic LLC

Organization Wound Care Registered Nurse · NPI 1881229532

Wound and Medical Outreach Clinic LLC is a Wound Care Registered Nurse in Riverview, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12250 Blue Pacific Dr
Riverview, FL 33579-1803
Phone: (813) 777-1591
Fax: (800) 351-2611
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Wound Care Registered Nurse Taxonomy 163WW0000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1881229532
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Marshall Allen — Mgmr · (813) 777-1591
NPI enumeratedMarch 3, 2020
Last updated in NPPESNovember 27, 2023
Certification dateAugust 6, 2020
Mailing address12250 Blue Pacific Dr, Riverview, FL 33579-1803