Active NPI
Northeast Florida Limb Preservation and Complex Wound Care Specialists
- Surgery Physician
- Jacksonville, FL
National Provider Identifier
1740195510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Northeast Florida Eye Care Addociates
- Northeast Florida Eye Care Associates
- Northeast Florida Health Solution Inc.
- Northeast Florida Healthy Start Coalition, Inc.
- Northeast Florida Joint Preservation and Cartilage Restoration Center
- Northeast Florida Medical Solutions, PLLC
- Northeast Florida Pediatric Associates, P.a.
- Northeast Florida Pediatric Associates, P.a.
- Northeast Support Coordination Services Inc (Northeast Support Coordination Services)
- Northern Florida Anesthesia Services PLLC
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.