FANTASTIC WOUND CARE LLC
NPI 1265929012
Clinic/Center in West Palm Beach, FL
- Organization
- Clinic/Center
About FANTASTIC WOUND CARE LLC
This page provides the complete NPI Profile along with additional information for Fantastic Wound Care Llc, a provider established in West Palm Beach, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1265929012 assigned on April 2018. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Olayemi Olajide Oslyemi M.d (President)
- NPI
- 1265929012 Verify this NPI
- Provider Name
- FANTASTIC WOUND CARE LLC
- Entity Type
- Organization
- Location Address
- 2580 METROCENTRE BOULEVARD SUITE 5 WEST PALM BEACH, FL 33407
- Location Phone
- (561) 602-9988
- Mailing Address
- 2580 METROCENTRE BOULEVARD SUITE 5 WEST PALM BEACH, FL 33407
- Mailing Phone
- (561) 602-9988
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-17-2018
- Last Update Date
- 04-17-2018
- Code Navigator
Location Map
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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 | 163WW0000X | Nursing Service Providers | Registered Nurse | |
| 2 | 163WX1500X | Nursing Service Providers | Registered Nurse | |
| 3 | 261QR0200X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265929012, enumerated as an "organization" on April 17, 2018.
The provider is located at 2580 METROCENTRE BOULEVARD SUITE 5 WEST PALM BEACH, FL 33407 and the phone number is (561) 602-9988.
Clinic/Center with taxonomy code 261Q00000X.
