SOUTHWEST FLORIDA ADVANCED WOUND CARE, LLC
NPI 1962396424
General Practice in Cape Coral, FL

Active since June 06, 2025
1813 PALACO GRANDE PKWY, CAPE CORAL, FL 33904(386) 212-4142 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southwest Florida Advanced Wound Care, Llc NPPES

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

SOUTHWEST FLORIDA ADVANCED WOUND CARE, LLC (NPI 1962396424) is a healthcare organization registered as a general practice in Cape Coral, Florida and active in the NPI registry since June 2025. The organization lists Jessica Gailbreath, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1962396424
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTHWEST FLORIDA ADVANCED WOUND CARE, LLC
Location Address1813 PALACO GRANDE PKWYCape Coral, FL 33904-4445
Mailing Address1907 Mendocino LnPort Orange, FL 32128-7409 · (386) 212-4142
Organization SubpartNo
Authorized OfficialJessica GailbreathManaging Member · (386) 212-4142
Enumeration DateJune 6, 2025
NPPES CertifiedJune 6, 2025
✔ NPI 1962396424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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
1813 PALACO GRANDE PKWY, Cape Coral, FL 33904

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest Florida Advanced Wound Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southwest Florida Advanced Wound Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Emergency Medicine
NPI 1548248115
13681 DOCTORS WAY
Fort Myers, FL 33912
(239) 343-3292
✔ PECOS✔ Accepts Medicare6.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southwest Florida Advanced Wound Care, LLC's NPI number?

The NPI number for Southwest Florida Advanced Wound Care, LLC is 1962396424. It was assigned to this organization in the NPPES registry on June 6, 2025.

Where is Southwest Florida Advanced Wound Care, LLC located?

Southwest Florida Advanced Wound Care, LLC is located at 1813 Palaco Grande Pkwy, Cape Coral, FL 33904. The listed phone number is (386) 212-4142.

What is Southwest Florida Advanced Wound Care, LLC's specialty?

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

Is Southwest Florida Advanced Wound Care, LLC enrolled in Medicare?

Yes. Southwest Florida Advanced Wound Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest Florida Advanced Wound Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Southwest Florida Advanced Wound Care, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southwest Florida Advanced Wound Care, LLC was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.