Organization Active NPI

Wound Care Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Miami Beach, FL
National Provider Identifier
1508468059
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WOUND CARE SUPPLIES LLC
Practice address
4014 Chase Ave Ste 215
Miami Beach, FL 33140-3446
Phone
(305) 763-8876
Fax
(877) 391-2770
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Elisa Bogomilsky
Title
Office Manager
Phone
(305) 375-1566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4014 Chase Ave Ste 215
Miami Beach, FL 33140-3446

Mailing address

PO Box 403311
Miami Beach, FL 33140-1311
Phone (305) 375-8876

National Provider Directory

National Provider Directory

Locations

4014 Chase Ave
Ste 215
Miami Beach, FL 33140
Phone (305) 763-8876

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1508468059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403311",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331401311",
            "telephone_number": "305-375-8876",
            "fax_number": "877-391-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 CHASE AVE STE 215",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403446",
            "telephone_number": "305-763-8876",
            "fax_number": "877-391-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "BOGOMILSKY",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-375-1566"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.