# FL WOUND CARE LLC

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

## Provider details

- **NPI number:** 1760267314
- **Authorized official:** JONATHAN L SNYDERMAN DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (954) 638-8615

## Contact information

- **Practice address:** 11 ISLAND AVE APT 1808, MIAMI BEACH, FL 33139-1342
- **Practice address phone:** (954) 638-8615
- **Mailing address:** 11 ISLAND AVE APT 1808, MIAMI BEACH, FL 33139-1342
- **Mailing address phone:** (954) 638-8615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/30/2023
- **Last updated:** 08/30/2023