Organization Active NPI

Floridian Wound Care Services Inc

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1285439836
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FLORIDIAN WOUND CARE SERVICES INC
Practice address
17395 NW 59TH Ave
Hialeah, FL 33015-5111
Phone
(786) 282-2187
NPI assigned
Feb 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Antolin Benitez
Title
Owner/PTD
Phone
(786) 282-2187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

17395 NW 59TH Ave
Hialeah, FL 33015-5111

Mailing address

17395 NW 59TH Ave
Hialeah, FL 33015-5111
Phone (786) 282-2187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250618001772 FL Part B Supplier - Clinic/Group Practice 7214448018 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1285439836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17395 NW 59TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155111",
            "telephone_number": "786-282-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 NW 59TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155111",
            "telephone_number": "786-282-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDIAN WOUND CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "ANTOLIN",
        "authorized_official_title_or_position": "OWNER/PTD",
        "authorized_official_telephone_number": "786-282-2187"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.

Verify at the official NPI Registry.