Active NPI
Innovative Wound Care Associates, LLC
- Surgery Physician
- St Petersburg, FL
National Provider Identifier
1063392595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- INNOVATIVE WOUND CARE ASSOCIATES, LLC
- Practice address
- 3051 Tech Dr N Ste 100
Saint Petersburg, FL 33716-1001 - Phone
- (855) 819-6863
- NPI assigned
- Sep 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Schoenbaum
- Title
- Ceo
- Phone
- (855) 819-6863
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
3051 Tech Dr N Ste 100
Saint Petersburg, FL 33716-1001
Mailing address
3051 Tech Dr N Ste 100
Saint Petersburg, FL 33716-1001
Phone (727) 739-8822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3051 Tech Dr N
Ste 100
St Petersburg, FL 33716
Phone (727) 278-5441
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Sarasota, FL
- NPI 1639228810
-
- Surgery Physician
- Sarasota, FL
- NPI 1174796825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1063392595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 TECH DR N STE 100",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337161001",
"telephone_number": "727-739-8822",
"fax_number": "727-564-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3051 TECH DR N STE 100",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337161001",
"telephone_number": "855-819-6863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE WOUND CARE ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-04",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "SCHOENBAUM",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "855-819-6863"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Innovacare Central Florida Physicians, LLC (Anchor Medical Group)
- Innovation Wound Care PLLC
- Innovative Beginnings Therapy, LLC
- Innovative Imaging Associates, P.a.
- Innovative Imaging Associates, PA
- Antonino Insana, M.D.
- Insightpath Behavioral Solutions, LLC
- Insoft & Hurst Orthodontics, P.L.C.
- Joseph Insoft, M.D.
- Michael David Insoft, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.