| Sunwave Woundcare LLC | |
|
2093 W Atlantic Ave Apt 4514 Delray Beach FL 33445-4789 | |
| (585) 469-5549 | |
| Not Available |
| Full Name | Sunwave Woundcare LLC |
|---|---|
| Speciality | General Practice |
| Location | 2093 W Atlantic Ave Apt 4514, Delray Beach, Florida |
| Authorized Official Name and Position | Brian Goldman (OWNER) |
| Authorized Official Contact | 5854695549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunwave Woundcare LLC 2093 W Atlantic Ave Apt 4514 Delray Beach FL 33445-4789 Ph: (585) 469-5549 | Sunwave Woundcare LLC 2093 W Atlantic Ave Apt 4514 Delray Beach FL 33445-4789 Ph: (585) 469-5549 |
| NPI Number | 1770373474 |
|---|---|
| Provider Enumeration Date | 05/07/2025 |
| Last Update Date | 05/23/2025 |
| Certification Date | 05/23/2025 |
| Medicare PECOS PAC ID | 4789195876 |
|---|---|
| Medicare Enrollment ID | O20250616002885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770373474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Julie a Wilhite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780231092 PECOS PAC ID: 2264855477 Enrollment ID: I20200707001443 |
| Provider Name | Jacob Babinec |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306489943 PECOS PAC ID: 6406288273 Enrollment ID: I20210312001464 |
| Provider Name | Brian Howard Goldman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245699446 PECOS PAC ID: 0244523264 Enrollment ID: I20220208002899 |
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