Wound Care Store LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

WOUND CARE STORE LLC

Practice address

1950 Rockledge Blvd
Suite 109
Rockledge, FL 32955-3763

Phone

(321) 638-0880

Fax

(321) 638-2126

NPI assigned

Dec 2, 2009

Last updated

Dec 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David A Simonson, DPMNPI 1770561805

Title

President

Phone

(321) 638-0880

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Andrew Simonson, DPM

  • Podiatrist
  • Rockledge, FL
  • NPI 1770561805
  Authorized official Same address or phone

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1073841078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ROCKLEDGE BLVD",
            "address_2": "SUITE 109",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553763",
            "telephone_number": "321-638-0880",
            "fax_number": "321-638-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ROCKLEDGE BLVD",
            "address_2": "SUITE 109",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553763",
            "telephone_number": "321-638-0880",
            "fax_number": "321-638-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-638-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria F Wolfgram, RN
• Ashlyn Wolford, SLP
• Shetress Ladawn Woods, MA
• Ioana Workman
• Cathy Worley
• Wuesthoff Emergency Physicians PA
• Wuesthoff Family Physicians, Inc
• Wuesthoff Memorial Hospital Inc
• Mackenzie Brooke Yancey
• Tai Fung Yang, M.D.

• Customized Equipment (DME) in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.