Organization
BROWARD WOUND CARE SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY OTERO (PD)
(954) 404-3363
Entity
Organization
Contact information
Practice address
7950 SW 30TH ST STE 201, DAVIE, FL 33328-1979
(954) 638-8615
Mailing address
7950 SW 30TH ST STE 201, DAVIE, FL 33328-1979
(954) 638-8615
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
207P00000X
Emergency Medicine Physician
—
—
Other
Enumeration date
05/29/2025
Last updated
02/13/2026
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