SOUTHEAST WOUNDCARE EXPERTS LLC (NPI# 1992101471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992101471 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST WOUNDCARE EXPERTS LLC |
| Practice Address |
13520 Sw 152nd St Number 771834 Miami FL 33177-0101 |
| Mailing Address |
13520 Sw 152nd St Number 771834 Miami FL 33177-0194 |
| Practice Telephone | 3052383990 |
| Practice Fax Number | 3052546331 |
| Mailing Telephone | 3052383990 |
| Mailing Fax Number | 3052546331 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2016-03-23 |
| Authorized Official Name | DR. WILLIAM DAVID LUCKY SR. (OWNER) |
| Authorized Official Telephone | 3052383990 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME29049 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 038136500 | 05 |
| Street Address |
13520 SW 152ND ST NUMBER 771834 |
| City | MIAMI |
| State | FL |
| Zip Code | 33177-0101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396772224 | W.d.lucky, M.d., Inc | Specialist | 13520 Sw 152nd St, #771834, Miami, FL 33177-0031 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396369351 | Damaris Perez Bobey | Behavior Technician | 13755 Sw 181 St, Miami, FL 33177 | 2020-06-04 |
| 1881232221 | South Kendall Dentistry, Pa | Dentist | 15201 Sw 127th Ave., Suite 3, Miami, FL 33177 | 2019-12-17 |
| 1538710314 | Angela Moreno | Behavior Technician | 20155 Sw 129 Ave, Miami, FL 33177 | 2019-09-24 |
| 1811473317 | Life Residential LLC | Assisted Living Facility | 13431 S.w. 178 St., Miami, FL 33177 | 2018-07-17 |
| 1639655863 | Jose Martin Jacobo Remedios | Non-emergency Medical Transport (VAN) | 11825 Sw 208th Ter, Miami, FL 33177 | 2018-07-11 |
| 1497258867 | Yanet Arias Ramirez | Behavior Technician | 12301 Sw 191 St, Miami, FL 33177 | 2018-03-13 |
| 1558876003 | Dalina Maria Blanco I | Behavior Technician | 15982 Sw 138th Ct, Miami, FL 33177 | 2017-12-06 |
| 1679082119 | Esperanza's Alf, Inc. | Assisted Living Facility | 14336 Sw 172 St., Miami, FL 33177 | 2017-09-27 |
| 1720506553 | Ledys Cagigas | Behavioral Analyst | 14430 Sw 180th St, Miami, FL 33177 | 2017-08-31 |
| 1073031043 | Mary Celeste Da Gama-freites | Behavior Technician | 13249 Sw 200 Terrace, Miami, FL 33177 | 2017-08-30 |
| Find all providers in zip 33177 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057501 | Crossover Health Medical Group | Specialist | 1 Telemundo Way, Miami, FL 33182 | 2020-03-05 |
| 1417594581 | Anamaria Nevares | Specialist | 1601 Nw 12th Ave Ste 2018, Miami, FL 33136-1005 | 2019-12-07 |
| 1619491891 | Stellae LLC | Specialist | 8323 Nw 12 Street, Suite 115, Miami, FL 33126 | 2017-07-31 |
| 1083136808 | Venecia Lasalle Jean | Specialist | 6304 Nw 14th Ave, Miami, FL 33147-8008 | 2017-07-13 |
| 1073063210 | Care for Children Pediatric Services, M.d.,p.a. | Specialist | 3228 Nw 7th St, Miami, FL 33125-4102 | 2016-10-12 |
| 1366995573 | Play To Learn Therapy, Inc. | Specialist | 10841 Sw 128th St, Miami, FL 33176-5442 | 2016-07-25 |
| 1699123323 | Leydi Reyes Figueredo | Specialist | 100 Sw 110th Ave Apt 132, Miami, FL 33174-1255 | 2016-06-03 |
| 1134574288 | Javier Perez Mena I | Specialist | 10105 Nw 9th Street Cir Apt 203, Miami, FL 33172-3290 | 2016-04-26 |
| 1528423571 | Andres Tamayo Md | Specialist | 7357 W Flagler St, Miami, FL 33144-2557 | 2015-12-17 |
| 1134591001 | Keen Radiology, LLC | Specialist | 3500 Munroe Dr, Miami, FL 33133-5932 | 2015-10-30 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.