# SOUTHWEST FLORIDA ADVANCED WOUND CARE, LLC

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

## Provider details

- **NPI number:** 1962396424
- **Authorized official:** JESSICA GAILBREATH (MANAGING MEMBER)
- **Authorized official phone:** (386) 212-4142

## Contact information

- **Practice address:** 1813 PALACO GRANDE PKWY, CAPE CORAL, FL 33904-4445
- **Practice address phone:** (386) 212-4142
- **Mailing address:** 1907 MENDOCINO LN, PORT ORANGE, FL 32128-7409
- **Mailing address phone:** (386) 212-4142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2025
- **Last updated:** 06/06/2025