Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AETHERUS WOUND AND LYMPHATICS PLLC
NPI 1770413445
General Practice in Tampa, FL

Active since May 22, 2026
15310 AMBERLY DR STE 195, TAMPA, FL 33647(813) 212-6517 Get Directions Write a Review

NPPES record added: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aetherus Wound And Lymphatics Pllc NPPES

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

AETHERUS WOUND AND LYMPHATICS PLLC (NPI 1770413445) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since May 2026. The organization lists Loan Lam, Owner, as its authorized official.

NPPES Registry Identity

NPI1770413445
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameAETHERUS WOUND AND LYMPHATICS PLLC
Location Address15310 AMBERLY DR STE 195Tampa, FL 33647-1646
Mailing Address15303 Amberly Dr Ste CTampa, FL 33647-2308 · (813) 212-6517 · Fax (813) 212-6518
Organization SubpartNo
Authorized OfficialLoan LamOwner · (813) 212-6517
Enumeration DateMay 22, 2026
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
NPI 1770413445 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 ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
15310 AMBERLY DR STE 195, Tampa, FL 33647

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

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies (Customized Equipment)
15310 AMBERLY DR STE 195
TAMPA, FL 33647

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 Aetherus Wound And Lymphatics PLLC's NPI number?

The NPI number for Aetherus Wound And Lymphatics PLLC is 1770413445. It was assigned to this organization in the NPPES registry on May 22, 2026.

Where is Aetherus Wound And Lymphatics PLLC located?

Aetherus Wound And Lymphatics PLLC is located at 15310 Amberly Dr Ste 195, Tampa, FL 33647. The listed phone number is (813) 212-6517.

What is Aetherus Wound And Lymphatics PLLC'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 Aetherus Wound And Lymphatics PLLC was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.