Organization · Type 2 NPI

Wound100 Florida LLC

Clinic/Center · Pembroke Pines, FL

NPI number 1801773064 Active

Practice location

20809 NW 17th St
Pembroke Pines, FL 33029-2304

Mailing address

17414 Washington St
Omaha, NE 68135-3202

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Foot & Ankle Surgery Podiatrist 213ES0103XNone listed
Clinic/Center Primary 261Q00000XNone listed
Medical Specialty Clinic/Center 261QM2500XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1801773064

Wound100 Florida LLC's National Provider Identifier is 1801773064, issued on Aug 19, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Sep 5, 2025.