Active NPI
Northwest Florida Wound Care and Hyperbaric Center LLC
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Panama City Beach, FL
National Provider Identifier
1982299004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Legal business name
- NORTHWEST FLORIDA WOUND CARE AND HYPERBARIC CENTER LLC
- Practice address
- 11501 Hutchison Blvd Ste 109
Panama City Beach, FL 32407-3747 - Phone
- (850) 250-0112
- Fax
- (850) 250-3589
- NPI assigned
- Mar 2, 2021
- 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
- Jules Ellis
- Title
- Chief Financial Officer
- Phone
- (972) 885-6950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | Primary |
Addresses
Primary practice location
11501 Hutchison Blvd Ste 109
Panama City Beach, FL 32407-3747
Mailing address
PO Box 735911
Dallas, TX 75373-5911
Phone (972) 675-7266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Panama City Beach, FL
- NPI 1821073719
-
- Family Medicine Physician
- Panama City, FL
- NPI 1720028186
Undersea and Hyperbaric Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1982299004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735911",
"city": "DALLAS",
"state": "TX",
"postal_code": "753735911",
"telephone_number": "972-675-7266",
"fax_number": "972-607-4655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11501 HUTCHISON BLVD STE 109",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324073747",
"telephone_number": "850-250-0112",
"fax_number": "850-250-3589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST FLORIDA WOUND CARE AND HYPERBARIC CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-02",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "JULES",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "972-885-6950"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.