St. Somewhere Wound Care
Organization Active NPI Emergency Medicine Physician · Hernando Beach, FL
NPI 1699655480 · NPPES record last updated Oct 21, 2025
Key facts
- NPI
- 1699655480
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- ST. SOMEWHERE WOUND CARE
- Practice address
- 3183 Flamingo Blvd
Hernando Beach, FL 34607-2810 - Phone
- (352) 263-6925
- NPI assigned
- Sep 3, 2025
- Organization subpart
- No
Authorized official
- Name
- Miranda Bowen
- Title
- Credentialing Officer
- Phone
- (615) 504-1984
Practitioners 1
-
John P Opyoke, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251010004173 | FL | Part B Supplier - Clinic/Group Practice | 6103323498 |
Receives reassigned benefits from 1 practitioner Practice locations: Hernando Beach, FL |
National Provider Directory
- Part of
- Suncoast Wound Care
Locations
3183 Flamingo Blvd
Hernando Beach, FL 34607
Phone (352) 263-6925
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
3183 Flamingo Blvd
Hernando Beach, FL 34607-2810
Mailing address
3183 Flamingo Blvd
Hernando Beach, FL 34607-2810
Phone (352) 263-6925
Other providers in Hernando Beach, FL
- Gregory Klesius
- Ruth Anne Liguori
- Georgia Elizabeth Lundberg
- Annmarie Mills
- Lisa Rene' Schmidt
- The Balanced Wellness, PLLC
All providers in Hernando Beach, FL · Emergency Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.