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FANTASTIC WOUND CARE INC
NPI 1457830804
Clinic/Center in West Palm Beach, FL

Active since August 07, 2018CLIA 10D2182859 · Waiver
2580 METROCENTRE BLVD STE 6, WEST PALM BEACH, FL 33407(561) 602-9988 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2020, Aug 7, 2018 (2 updates tracked since 2018).

About Fantastic Wound Care Inc NPPES

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

FANTASTIC WOUND CARE INC (NPI 1457830804) is a healthcare organization registered as a clinic/center in West Palm Beach, Florida and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Olayemi Osiyemi, President/part Owner, as its authorized official.

NPPES Registry Identity

NPI1457830804
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFANTASTIC WOUND CARE INC
Location Address2580 METROCENTRE BLVD STE 6West Palm Beach, FL 33407-3100
Mailing Address2580 Metrocentre Blvd Ste 6West Palm Beach, FL 33407-3100 · (561) 725-4100
Phone(561) 602-9988
Organization SubpartNo
Authorized OfficialOlayemi OsiyemiPresident/part Owner · (561) 725-4100
Enumeration DateAugust 7, 2018
Last NPPES UpdateJuly 29, 20202 updates tracked since enumeration
NPPES CertifiedJuly 29, 2020
✔ NPI 1457830804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
2580 METROCENTRE BLVD STE 6, West Palm Beach, FL 33407
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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 10D2182859

Fantastic Wound Care Inc · West Palm Beach, FL
Active · expires Apr 26, 2028
CLIA Number10D2182859
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorOsiyemi O. Olayemi
Laboratory Phone(561) 725-4100
Laboratory LocationFantastic Wound Care Inc2580 Metrocentre Blvd Ste 6, West Palm Beach, FL 33407
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 Fantastic Wound Care Inc's NPI number?

The NPI number for Fantastic Wound Care Inc is 1457830804. It was assigned to this organization in the NPPES registry on August 7, 2018.

Where is Fantastic Wound Care Inc located?

Fantastic Wound Care Inc is located at 2580 Metrocentre Blvd Ste 6, West Palm Beach, FL 33407. The listed phone number is (561) 602-9988.

What is Fantastic Wound Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Fantastic Wound Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2182859) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fantastic Wound Care Inc was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.