National Provider Identifier Database

CQC WOUND CLINIC PLLC
Wound Care


Contact Information

CQC WOUND CLINIC PLLC
4101 NW 3RD CT STE 15
PLANTATION, FL33317-2830
Phone: 786-207-4788
Fax: 954-568-8630
Website:
Specialty Taxonomy Code
* Wound Care 163WW0000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for CQC WOUND CLINIC PLLC

NPI Number 1114803996
Legal business name
LBN
CQC WOUND CLINIC PLLC
Authorized official SIDNEY COUPET - (PHYSICIAN OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/15/2025
Last updated 02/24/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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