Organization Active NPI

Northeast Florida Limb Preservation and Complex Wound Care Specialists

  • Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1740195510
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NORTHEAST FLORIDA LIMB PRESERVATION AND COMPLEX WOUND CARE SPECIALISTS
Practice address
6420 San Juan Ave Ste 2
Jacksonville, FL 32210-2856
Phone
(904) 929-2010
Fax
(904) 929-2014
NPI assigned
Aug 17, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Carol Bowen-Wells, MD
Title
Chief Executive Officer
Phone
(904) 929-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

6420 San Juan Ave Ste 2
Jacksonville, FL 32210-2856

Mailing address

6420 San Juan Ave Ste 2
Jacksonville, FL 32210-2856
Phone (904) 929-2010

National Provider Directory

National Provider Directory

Locations

6420 San Juan Ave
Ste 2
Jacksonville, FL 32210
Phone (904) 929-2010

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1740195510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 SAN JUAN AVE STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102856",
            "telephone_number": "904-929-2010",
            "fax_number": "904-929-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 SAN JUAN AVE STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102856",
            "telephone_number": "904-929-2010",
            "fax_number": "904-929-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FLORIDA LIMB PRESERVATION AND COMPLEX WOUND CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "BOWEN-WELLS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "904-929-2010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.