Organization
CQC WOUND CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY COUPET DO, MPH, MHS (PHYSICIAN OWNER)
(786) 207-4788
Entity
Organization
Contact information
Practice address
4101 NW 3RD CT STE 15, PLANTATION, FL 33317-2830
(786) 207-4788
(954) 568-8630
Mailing address
PO BOX 91, HALLANDALE BEACH, FL 33008-0091
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/15/2025
Last updated
02/24/2026
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