Healthcare Provider Details

I. General information

NPI: 1699593509
Provider Name (Legal Business Name): WOUND NP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 BROWN RD
ALVA FL
33920-3444
US

IV. Provider business mailing address

1851 BROWN RD
ALVA FL
33920-3444
US

V. Phone/Fax

Practice location:
  • Phone: 239-823-8651
  • Fax:
Mailing address:
  • Phone: 239-823-8651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KANDI ZIELINSKI
Title or Position: OWNER
Credential:
Phone: 239-823-8651