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CQC WOUND CLINIC PLLC
NPI 1114803996
Registered Nurse - Wound Care in Plantation, FL

Active since August 15, 2025CLIA 10D2335609 · Waiver
4101 NW 3RD CT STE 15, PLANTATION, FL 33317(786) 207-4788(954) 568-8630 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cqc Wound Clinic Pllc NPPES

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

CQC WOUND CLINIC PLLC (NPI 1114803996) is a healthcare organization registered as a wound care in Plantation, Florida and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through December 14, 2027, maintains a secondary practice location in Pompano Beach, and lists Sidney Coupet, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1114803996
Entity TypeOrganization
Primary Taxonomy163WW0000X
Legal Business NameCQC WOUND CLINIC PLLC
Location Address4101 NW 3RD CT STE 15Plantation, FL 33317-2830
Mailing AddressPo Box 91Hallandale Beach, FL 33008-0091
Phone(786) 207-4788
Fax(954) 568-8630
Organization SubpartNo
Authorized OfficialSidney CoupetPhysician Owner · (786) 207-4788
Enumeration DateAugust 15, 2025
Last NPPES UpdateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1114803996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers
Taxonomy Code163WW0000X
Also ListedInternal MedicineTaxonomy 207R00000X
4101 NW 3RD CT STE 15, Plantation, FL 33317
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Secondary Practice Location 1

Location 11600 S Federal HwyPompano Beach, FL 33062-7500 · Phone (786) 207-4788 · Fax (954) 568-8630

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cqc Wound Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cqc Wound Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sidney Coupet, D.O.
Internal Medicine
NPI 1285803262
1600 S FEDERAL HWY STE 550
Pompano Beach, FL 33062
(786) 207-4788
✔ PECOS✔ Accepts Medicare8.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2335609

Cqc Wound Clinic LLC · Plantation, FL
Active · expires Dec 14, 2027
CLIA Number10D2335609
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorSidney Coupet
Laboratory Phone(786) 207-4788
Laboratory LocationCqc Wound Clinic LLC4101 NW 3rd Court Unit 15, Plantation, FL 33317
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cqc Wound Clinic PLLC's NPI number?

The NPI number for Cqc Wound Clinic PLLC is 1114803996. It was assigned to this organization in the NPPES registry on August 15, 2025.

Where is Cqc Wound Clinic PLLC located?

Cqc Wound Clinic PLLC is located at 4101 NW 3rd Ct Ste 15, Plantation, FL 33317. The listed phone number is (786) 207-4788.

What is Cqc Wound Clinic PLLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.

Is Cqc Wound Clinic PLLC enrolled in Medicare?

Yes. Cqc Wound Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cqc Wound Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Cqc Wound Clinic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cqc Wound Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2335609) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cqc Wound Clinic PLLC was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.