Preventative Wound Care Associates LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

R300620764440 Issued in FL

Legal business name

PREVENTATIVE WOUND CARE ASSOCIATES LLC

Practice address

9956 Sago Point Dr
Largo, FL 33777-4913

Phone

(727) 239-3713

Fax

(727) 230-9046

NPI assigned

Dec 30, 2008

Last updated

Dec 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Navin Reddy, MD

Title

Medical Director

Phone

(727) 230-6698

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ethan Wolf Smajovits, DPM

  • Student in an Organized Health Care Education/Training Program
  • Decatur, GA
  • NPI 1164363677
  NPD (past)

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1912143603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1457",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337791457",
            "telephone_number": "727-239-3713",
            "fax_number": "727-230-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9956 SAGO POINT DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337774913",
            "telephone_number": "727-239-3713",
            "fax_number": "727-230-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTATIVE WOUND CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "NAVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-230-6698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "R300620764440",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "R300620764440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Therapy Services
• Lindsay Irace Predmore, FNP-C
• Premere Rehab LLC (Infinity Rehab)
• Premier Vantage Psychiatry and Mental Health LLC
• Premiere Behavioral Supports
• Keila Ines Prewitt, ARNP
• Nicole Langdon Price, NP-C
• Benjamin Pridemore
• Prime Time Medical, Inc.
• Prince of Peace Evangelical Lutheran Church of Pinellas County FL, Inc

• General Practice Physician in Largo, FL
• Providers in Largo, 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 Dec 30, 2008; 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.