JCL ADVANCED WOUND CARE LLC
NPI 1063364693
Nurse Practitioner - Family in Westlake, FL

Active since February 14, 2026
4644 CANOPY GROVE DR, WESTLAKE, FL 33470(561) 633-0689 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Jcl Advanced Wound Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JCL ADVANCED WOUND CARE LLC (NPI 1063364693) is a healthcare organization registered as a family in Westlake, Florida and active in the NPI registry since February 2026. The organization lists Oluwabusayo Omole, Aprn/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1063364693
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJCL ADVANCED WOUND CARE LLC
Location Address4644 CANOPY GROVE DRWestlake, FL 33470-7049
Mailing Address4644 Canopy Grove DrWestlake, FL 33470-7049
Organization SubpartNo
Authorized OfficialOluwabusayo OmoleAprn/nurse Practitioner · (561) 633-0689
Enumeration DateFebruary 14, 2026
Last NPPES UpdateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
NPI 1063364693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
4644 CANOPY GROVE DR, Westlake, FL 33470

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jcl Advanced Wound Care LLC's NPI number?

The NPI number for Jcl Advanced Wound Care LLC is 1063364693. It was assigned to this organization in the NPPES registry on February 14, 2026.

Where is Jcl Advanced Wound Care LLC located?

Jcl Advanced Wound Care LLC is located at 4644 Canopy Grove Dr, Westlake, FL 33470. The listed phone number is (561) 633-0689.

What is Jcl Advanced Wound Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jcl Advanced Wound Care LLC was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.