| Advanced Wound Care Specialists | |
|
5204 Sw 87th Ave Cooper City FL 33328-4330 | |
| (301) 980-1133 | |
| Not Available |
| Full Name | Advanced Wound Care Specialists |
|---|---|
| Speciality | General Practice |
| Location | 5204 Sw 87th Ave, Cooper City, Florida |
| Authorized Official Name and Position | Priya Nair (DIRECTOR) |
| Authorized Official Contact | 3019801133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wound Care Specialists 5204 Sw 87th Ave Cooper City FL 33328-4330 Ph: (301) 980-1133 | Advanced Wound Care Specialists 5204 Sw 87th Ave Cooper City FL 33328-4330 Ph: (301) 980-1133 |
| NPI Number | 1972468510 |
|---|---|
| Provider Enumeration Date | 12/17/2025 |
| Last Update Date | 12/17/2025 |
| Certification Date | 12/17/2025 |
| Medicare PECOS PAC ID | 8022593599 |
|---|---|
| Medicare Enrollment ID | O20260401004132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972468510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Priya Sivakumar Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396461760 PECOS PAC ID: 8527598051 Enrollment ID: I20250212002376 |
| Provider Name | Jason Brent Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568586188 PECOS PAC ID: 7810462108 Enrollment ID: I20260403002777 |
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