Healthcare Provider Details

I. General information

NPI: 1962332668
Provider Name (Legal Business Name): SUPERIOR WOUND CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5908 NE 57TH LOOP
SILVER SPRINGS FL
34488-1202
US

IV. Provider business mailing address

5908 NE 57TH LOOP
SILVER SPRINGS FL
34488-1202
US

V. Phone/Fax

Practice location:
  • Phone: 352-653-7425
  • Fax:
Mailing address:
  • Phone:
  • 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: CORA-ANN TORRES-MERCADO
Title or Position: OWNER
Credential: APRN
Phone: 352-653-7425