Healthcare Provider Details

I. General information

NPI: 1962977165
Provider Name (Legal Business Name): CURELOGICS WOUND CARE AND HYPERBARIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2018
Last Update Date: 06/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 COUNTY ROAD 466 UNIT C-201
LADY LAKE FL
32159
US

IV. Provider business mailing address

809 COUNTY ROAD 466 UNIT C-201
LADY LAKE FL
32159
US

V. Phone/Fax

Practice location:
  • Phone: 732-335-6512
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. NORMAN NOVIS
Title or Position: OWNER
Credential: MD
Phone: 872-240-3712