Evolution Wound Management of FL PA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

EVOLUTION WOUND MANAGEMENT OF FL PA

Practice address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Phone

(800) 914-3592

Fax

(800) 897-1470

NPI assigned

Oct 23, 2025

Last updated

Oct 23, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joshua Alan Emdur, D.O

Title

Medical Director

Phone

(800) 914-3592

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1922975846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 W 53RD ST APT 48E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100197895",
            "telephone_number": "800-914-3592",
            "fax_number": "800-897-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "800-914-3592",
            "fax_number": "800-897-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION WOUND MANAGEMENT OF FL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "EMDUR",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "800-914-3592",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.