Organization 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
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
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

Updated by the provider on May 7, 2025

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)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20210730000928 FL Part B Supplier - Clinic/Group Practice 1355744186 Receives reassigned benefits from 1 practitioner
Practice locations: Panama City Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

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.

Verify at the official NPI Registry.