Healthcare Provider Details

I. General information

NPI: 1598626830
Provider Name (Legal Business Name): WOUND CARE OF FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6321 54TH AVE N
ST PETERSBURG FL
33709-1703
US

IV. Provider business mailing address

6321 54TH AVE N
ST PETERSBURG FL
33709-1703
US

V. Phone/Fax

Practice location:
  • Phone: 727-586-6100
  • Fax: 727-545-0960
Mailing address:
  • Phone: 727-586-6100
  • Fax: 727-545-0960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: KAZI HASSAN
Title or Position: PRESIDENT
Credential: MD
Phone: 727-548-6100