Advance Wound Care LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ADVANCE WOUND CARE LLC

Practice address

4649 Ponce de Leon Blvd Ste 406
Coral Gables, FL 33146-2121

Phone

(717) 345-7415

NPI assigned

Mar 3, 2025

Organization subpart

No

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

Authorized official

Name

Poopak Bakhtiari, MD

Title

Owner

Phone

(717) 555-4154

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Patricia Ghassemi Bakhtiari, APRN

  • Family Nurse Practitioner
  • South Miami, FL
  • NPI 1588372601
  Medicare reassignment NPD
• Poopak Ghassemi Bakhtiari, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sunrise, FL
  • NPI 1912939513
  Medicare reassignment NPD

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1336946854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4649 PONCE DE LEON BLVD STE 406",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4649 PONCE DE LEON BLVD STE 406",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462121",
            "telephone_number": "717-345-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "BAKHTIARI",
        "authorized_official_first_name": "POOPAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-555-4154",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Tafur Services (AT services)
• Advance Health and Wellness Solutions II Inc
• Advance Health and Wellness Solutions Inc
• Advance Medical Service Center Inc
• Advance Therapy & Rehab Center Inc
• Advance Wound Care Specialists, Inc.
• Advanced Behavioral Network
• Advanced Chinese Acupuncture & Herb Inc
• Advanced Health Group Inc
• Advanced Imaging Services Inc

• Specialist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.