Healthcare Provider Details
I. General information
NPI: 1538987110
Provider Name (Legal Business Name): WOUND CARE NOW LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2024
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5304 MILE STRETCH DR
HOLIDAY FL
34690-6060
US
IV. Provider business mailing address
5304 MILE STRETCH DR
HOLIDAY FL
34690-6060
US
V. Phone/Fax
- Phone: 877-202-1191
- Fax:
- Phone: 877-202-1191
- Fax: 866-404-2411
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WW0000X |
| Taxonomy | Wound Care Registered Nurse |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ANTHONY
CROXTON
II
Title or Position: PRESIDENT
Credential:
Phone: 877-202-1191