Healthcare Provider Details

I. General information

NPI: 1235075862
Provider Name (Legal Business Name): CUREPOINT WOUND CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 NORTHDALE BLVD SUITE 103
TAMPA FL
33624
US

IV. Provider business mailing address

3920 NORTHDALE BLVD SUITE 103
TAMPA FL
33624
US

V. Phone/Fax

Practice location:
  • Phone: 352-266-1241
  • Fax:
Mailing address:
  • Phone: 352-266-1241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: PEDER JOHNSEN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 352-266-1241