Innovative Wound Care Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INNOVATIVE WOUND CARE INC

Practice address

19615 Dinner Key Dr
Boca Raton, FL 33498-4523

Phone

(561) 990-6033

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Shamil Mardanov

Title

President

Phone

(440) 829-4477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1649958752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19615 DINNER KEY DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19615 DINNER KEY DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984523",
            "telephone_number": "561-990-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE WOUND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "MARDANOV",
        "authorized_official_first_name": "SHAMIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-829-4477"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative GX Florida , Inc
• Innovative Healthcare Business Solutions LLC
• Innovative Medical Care, P.a.
• Innovative Supplies, LLC
• Innovative Surgical Assistants LLC
• Insight 180 Counseling Services
• Insightful Choices PA
• Insightful Edge Therapy LLC
• Insta Home Healthcare Services LLC
• Institute for Human Potential

• Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.