Provider Demographics
NPI:1710255617
Name:ABSOLUTE WOUND CARE
Entity Type:Organization
Organization Name:ABSOLUTE WOUND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:PULEO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, WCC
Authorized Official - Phone:239-207-5288
Mailing Address - Street 1:7857 UMBERTO CT
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-2686
Mailing Address - Country:US
Mailing Address - Phone:239-207-5288
Mailing Address - Fax:
Practice Address - Street 1:7857 UMBERTO CT
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-2686
Practice Address - Country:US
Practice Address - Phone:239-207-5288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9190053163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty