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General NPI Number Information
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NPI Number | 1063392595
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Entity Type | Organization
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Legal Business Name | INNOVATIVE WOUND CARE ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 3051 TECH DR N STE 100
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City | SAINT PETERSBURG
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State | FL
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Zip | 33716-1001
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Country | US
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Telephone | 855-819-6863
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Fax |
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Provider Business Mailing Address
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Address Line | 3051 TECH DR N STE 100
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City | SAINT PETERSBURG
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State | FL
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Zip | 33716-1001
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Country | US
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Telephone | 727-739-8822
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Fax | 727-564-9045
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Authorized Official
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Title or Position | CEO
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Name | ADAM SCHOENBAUM
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Credential |
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Telephone | 855-819-6863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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