Provider Demographics
NPI:1629870845
Name:WOUND WISE CARE LLC
Entity type:Organization
Organization Name:WOUND WISE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CURBELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-340-0500
Mailing Address - Street 1:6801 LAKE WORTH RD STE 316A
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2966
Mailing Address - Country:US
Mailing Address - Phone:561-872-7624
Mailing Address - Fax:561-727-8763
Practice Address - Street 1:6801 LAKE WORTH RD STE 316
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33467-2966
Practice Address - Country:US
Practice Address - Phone:561-872-7624
Practice Address - Fax:561-727-8763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11024043OtherNURSE PRACTITIONER