ADVANCE WOUND CARE LLC NPI 1336946854

NPI Information

  • NPI: 1336946854
  • Provider Name: ADVANCE WOUND CARE LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 4649 PONCE DE LEON BLVD STE 406
    CORAL GABLES, FL
    ZIP 33146
  • Phone: (717) 345-7415

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NPI Details

ADVANCE WOUND CARE LLC is a specialist in Coral Gables, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ADVANCE WOUND CARE LLC NPI is 1336946854. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4649 PONCE DE LEON BLVD STE 406
CORAL GABLES, FL
ZIP 33146-121
Phone: (717) 345-7415

The provider's authorized official is Poopak Bakhtiari .
The authorized official title is Owner and has the following contact phone number (717) 555-4154.

The enumeration date for this NPI number is 3/3/2025 and was last updated on 4/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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