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NPI Code Detail

MEDICARE: COMPREHENSIVE WOUND CARE CENTERS LLC

MEDICARE: COMPREHENSIVE WOUND CARE CENTERS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist

General Provider Information

NPI Number : 1740139641
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE WOUND CARE CENTERS LLC
Provider Business Mailing Address
First Line : 8851 BOARDROOM CIRCLE
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4888
Country : US
Telephone Number : 239-689-8910
Fax Number : 239-481-8150
Provider Business Practice Location Address
First Line : 13731 METROPOLIS AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-7150
Country : US
Telephone Number : 239-481-7000
Fax Number : 239-481-8150
Authorized Official
Title or Position : CEO
Name : HUSNI A CHARARA
Credential : DPM
Telephone Number : 239-689-8900
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “COMPREHENSIVE WOUND CARE CENTERS LLC ” Practice Location

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