NPI 1801773064 · live from the CMS NPI Registry
Wound100 Florida LLC
Clinic/Center in Pembroke Pines, FL. National Provider Identifier 1801773064, active.
NPI record
| NPI | 1801773064 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center 261Q00000X |
| Practice location | 20809 Nw 17th St, Pembroke Pines, FL 33029 |
| Practice phone | 561-400-5303 |
| Mailing address | 17414 Washington St, Omaha, NE 68135 |
| Enumerated | August 19, 2025 |
| Last updated | September 5, 2025 |
| Authorized official | Leah Ford, Corporate Medical Officer |
| Other names | Wound100 Florida LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — |
| Internal Medicine | 207R00000X | — |
| Clinic/Center, Medical Specialty | 261QM2500X | — |
| Clinic/Center primary | 261Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.