Integrated Wound Care Florida PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INTEGRATED WOUND CARE FLORIDA PLLC

Practice address

700 S 29TH St
Fort Pierce, FL 34947-3626

Phone

(732) 451-4318

NPI assigned

Apr 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Diane Lusas, MDNPI 1730475658

Title

Authorized Official

Phone

(732) 451-4318

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 7

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

• Diane N Lusas, M.D.

  • Surgery Physician
  • Norwalk, CT
  • NPI 1730475658

  FL

  Medicare reassignment Authorized official
• Pauline Delinois

  • Family Nurse Practitioner
  • Oldsmar, FL
  • NPI 1275183931
  Medicare reassignment NPD
• Marieta Georgieva Fryer, APRN

  • Adult Health Nurse Practitioner
  • St Petersburg, FL
  • NPI 1235849258
  Medicare reassignment NPD
• Melissa Giarratano, APRN

  • Family Nurse Practitioner
  • Stuart, FL
  • NPI 1740643592

  Single Specialty

  Medicare reassignment NPD
• Norma Leticia Goodrich, AG08200038

  • Psychiatric/Mental Health Nurse Practitioner
  • Okeechobee, FL
  • NPI 1669087722

  Multi-Specialty

  Medicare reassignment NPD
• Codi Craig, PAC

  • Surgical Physician Assistant
  • Knoxville, TN
  • NPI 1396289005

  FL

  Medicare reassignment
• Linda Chen, M.D.

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1588890859
  NPD

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1699356964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492C CEDAR LN STE 514",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661713",
            "telephone_number": "732-451-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 29TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349473626",
            "telephone_number": "732-451-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WOUND CARE FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "LUSAS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-451-4318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Reins Counseling, LLC
• Inspirationofcare,Inc
• Inspiring Hope Counseling Services, LLC
• Integrated Health Services at Central Florida Inc
• Integrated Regional Laboratories Pathology Services, LLC
• Integrative Medical Care, LLC
• Intensive Care Consortium Inc
• Internal Medicine Complete Care PA
• Internal Medicine Consultants of Saint Lucie County LLC
• Interventional Neuro Associates Florida PLLC

• General Practice Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.