CQC WOUND CLINIC PLLC
NPI 1114803996
Registered Nurse - Wound Care in Plantation, FL
NPI Status: Active since August 15, 2025
Contact Information
4101 NW 3RD CT STE 15
PLANTATION, FL
ZIP 33317
Phone: (786) 207-4788
Fax: (954) 568-8630
- Organization
- Registered Nurse
- Wound Care
- CLIA Number: 10D2335609
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-14-2027
About CQC WOUND CLINIC PLLC
This page provides the complete NPI Profile along with additional information for Cqc Wound Clinic Pllc, a provider established in Plantation, Florida operating as a Registered Nurse, focusing in wound care . The healthcare provider is registered in the NPI registry with number 1114803996 assigned on August 2025. The practitioner's primary taxonomy code is 163WW0000X. The provider is registered as an organization and their NPI record was last updated February 2026. Cqc Wound Clinic Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Sidney Coupet Do, Mph, Mhs (Physician Owner)
- NPI
- 1114803996
- Provider Name
- CQC WOUND CLINIC PLLC
- Entity Type
- Organization
- Location Address
- 4101 NW 3RD CT STE 15 PLANTATION, FL 33317
- Location Phone
- (786) 207-4788
- Location Fax
- (954) 568-8630
- Mailing Address
- PO BOX 91 HALLANDALE BEACH, FL 33008
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-15-2025
- Last Update Date
- 02-24-2026
- Code Navigator
A registered nurse (RN) like Cqc Wound Clinic Pllc coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.
Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.
Location Map
Secondary Locations
- 1600 S Federal Hwy
Pompano Beach, FL 33062
(786) 207-4788
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Registered Nurse Wound Care
- Taxonomy Code
- 163WW0000X
- Type
- Nursing Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2335609
- Facility Type
- Physician Office
- Certificate Effective Date
- December 15, 2025
- Certificate Expiration Date
- December 14, 2027
- Laboratory Director
- SIDNEY COUPET
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Cqc Wound Clinic Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114803996, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PLANTATION, FL 33317
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114803996, enumerated as an "organization" on August 15, 2025.
The provider is located at 4101 NW 3RD CT STE 15 PLANTATION, FL 33317 and the phone number is (786) 207-4788.
Registered Nurse with taxonomy code 163WW0000X and a focus in Wound Care.
