Active NPI
Wound100 Medical Florida PLLC
- Clinic/Center
- Pembroke Pines, FL
National Provider Identifier
1417827783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WOUND100 MEDICAL FLORIDA PLLC
- Practice address
- 20809 NW 17TH St
Pembroke Pines, FL 33029-2304 - Phone
- (561) 400-5303
- NPI assigned
- Nov 10, 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
- Dr. Leah Ford, DPM
- Title
- Medical Director
- Phone
- (561) 400-5303
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
20809 NW 17TH St
Pembroke Pines, FL 33029-2304
Mailing address
19681 Chicago St Apt a
Elkhorn, NE 68022-6525
Phone (402) 651-6040
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1417827783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19681 CHICAGO ST APT A",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680226525",
"telephone_number": "402-651-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20809 NW 17TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292304",
"telephone_number": "561-400-5303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND100 MEDICAL FLORIDA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "561-400-5303",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.