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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 Specialty Code Provider Type

Wound Care

163WW0000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CQC WOUND CLINIC PLLC

NPI # 1114803996
LBN Legal business name CQC WOUND CLINIC PLLC
Authorized official SIDNEY COUPET - (PHYSICIAN OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/15/2025
Last updated 02/24/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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