# ADVANCED WOUND CARE SOLUTION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518787902
- **Authorized official:** AL BERRY (MANAGER)
- **Authorized official phone:** (469) 915-4211

## Contact information

- **Practice address:** 3800 W BROWARD BLVD STE 101, FORT LAUDERDALE, FL 33312-1018
- **Practice address phone:** (804) 282-4181
- **Practice address fax:** (804) 288-4184
- **Mailing address:** 3800 W BROWARD BLVD STE 101, FORT LAUDERDALE, FL 33312-1018
- **Mailing address phone:** (804) 282-4181
- **Mailing address fax:** (804) 288-4184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2024
- **Last updated:** 04/16/2025