FL WOUND CARE MEDICAL GROUP
NPI 1760109003
General Practice in Tampa, FL

Q: What is Fl Wound Care Medical Group's NPI number?

The NPI number for Fl Wound Care Medical Group is 1760109003. It was assigned to this organization in the NPPES registry on October 27, 2022.

Q: What is Fl Wound Care Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since October 27, 2022

4728 N HABANA AVE STE 203, TAMPA, FL 33614(323) 480-4075 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fl Wound Care Medical Group NPPES

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

FL WOUND CARE MEDICAL GROUP (NPI 1760109003) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since October 2022. The organization lists Owen Bernardo Ellington, President, as its authorized official.

NPPES Registry Identity

NPI1760109003

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameFL WOUND CARE MEDICAL GROUP

Location Address4728 N HABANA AVE STE 203Tampa, FL 33614-7147

Mailing Address5901 W Century Blvd Ste 750Los Angeles, CA 90045-5443 · (323) 480-4075

Phone(323) 480-4075

Organization SubpartNo

Authorized OfficialOwen Bernardo EllingtonPresident · (713) 304-4227

Enumeration DateOctober 27, 2022

NPPES CertifiedOctober 27, 2022

✔ NPI 1760109003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

4728 N HABANA AVE STE 203, Tampa, FL 33614

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Other Providers at the Same Location NPPES

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

WOUND PROS FLORIDA

General Practice

4728 N HABANA AVE STE 203
TAMPA, FL 33614

Hillsborough County (323) 315-0491

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 Fl Wound Care Medical Group's NPI number?

The NPI number for Fl Wound Care Medical Group is 1760109003. It was assigned to this organization in the NPPES registry on October 27, 2022.

Where is Fl Wound Care Medical Group located?

Fl Wound Care Medical Group is located at 4728 N Habana Ave Ste 203, Tampa, FL 33614. The listed phone number is (323) 480-4075.

What is Fl Wound Care Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Fl Wound Care Medical Group was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.