Coastal Wound Care Specialist LLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

COASTAL WOUND CARE SPECIALIST LLC

Practice address

406 Fairpoint Dr
Gulf Breeze, FL 32561-4159

Phone

(205) 344-2044

NPI assigned

May 28, 2025

Organization subpart

No

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

Authorized official

Name

Charlton Dennison

Title

Owner / Provider

Phone

(205) 344-2044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1083407381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 COLLEGE PKWY # 1069",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 FAIRPOINT DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614159",
            "telephone_number": "205-344-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL WOUND CARE SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "DENNISON",
        "authorized_official_first_name": "CHARLTON",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "205-344-2044"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wound Care Registered Nurse in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Wound Care Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.