Innovation Wound Care PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INNOVATION WOUND CARE PLLC

Practice address

7901 4TH St N
St Petersburg, FL 33702-4305

Phone

(877) 970-4200

NPI assigned

Feb 21, 2025

Organization subpart

No

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

Authorized official

Name

Daniel Lang

Title

Administrator

Phone

(877) 940-7200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA, MD, GA4 enrollments

Enrollment records 4

Locations

Practitioners 3

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

• Ugonna Onyeagoro

  • General Practice Physician
  • Toledo, OH
  • NPI 1104218601

  DC, MD, VA

  Medicare reassignment NPD
• Karen Roberts Cunningham, AGNP-C

  • Gerontology Nurse Practitioner
  • Waynesboro, GA
  • NPI 1124985700
  Medicare reassignment
• Long Ngoc Hoang, D.O.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1861694424
  NPD

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1861298671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7742 N KENDALL DR STE 446",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "877-970-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 Honeysuckle Rd",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363051104",
            "country_code": "US",
            "telephone_number": "877-970-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592125",
            "country_code": "US",
            "telephone_number": "877-970-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "534 15th St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706017336",
            "country_code": "US",
            "telephone_number": "877-970-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Victoria St",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335104100",
            "country_code": "US",
            "telephone_number": "877-970-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4145 Misty Morning Way",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305064319",
            "country_code": "US",
            "telephone_number": "877-970-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVATION WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "877-940-7200"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Inman, D.O.
• Inner Compass Mental Health & Recovery, LLC
• Inner Glow Healing
• Inner Horizon Integrative Therapy LLC
• Innovacare Central Florida Physicians, LLC
• Innovative Beginnings Therapy, LLC
• Innovative Imaging Associates, P.a.
• Innovative Imaging Associates, PA
• Innovative Wound Care Associates, LLC
• Antonino Insana, M.D.

• General Practice Physician in St Petersburg, FL
• Providers in St Petersburg, 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 Feb 21, 2025; 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.