Organization Active NPI

Dynamic Wound Care of Florida PA

  • General Practice Physician
  • Sarasota, FL
National Provider Identifier
1003783283
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DYNAMIC WOUND CARE OF FLORIDA PA
Practice address
1689 2ND St Ofc 113
Sarasota, FL 34236-8521
Phone
(305) 901-5055
NPI assigned
Oct 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kirill Filatov
Title
Authorized Official
Phone
(305) 901-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1689 2ND St Ofc 113
Sarasota, FL 34236-8521

Mailing address

1689 2ND St Ofc 113
Sarasota, FL 34236-8521

National Provider Directory

National Provider Directory

Locations

1689 2nd St
Ofc 113
Sarasota, FL 34236
Phone (305) 901-5055

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1003783283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 2ND ST OFC 113",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342368521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 2ND ST OFC 113",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342368521",
            "telephone_number": "305-901-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC WOUND CARE OF FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "FILATOV",
        "authorized_official_first_name": "KIRILL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-901-5055"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.