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

Q: 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.

Q: 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.

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: August 23, 2026.

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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

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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CQC MEDICAL SUPPLIES LLC

Durable Medical Equipment & Medical Supplies

4101 NW 3RD CT STE 15
PLANTATION, FL 33317

Broward County (786) 207-4788

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.

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 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.