Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Florida Wound Cure and Hyperbaric Medicine PLLC

Organization Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · NPI 1568359792

Northeast Florida Wound Cure and Hyperbaric Medicine PLLC is an Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in St Johns, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

205 Trinity Way Ste 3800
St Johns, FL 32259-1155
Phone: (612) 310-8971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Taxonomy 207PE0005X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1568359792
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Courtney Fahnhorst Vidrine — Ceo · (612) 310-8971
Other names Gable Wound Care And Hyperbaric Medicine
NPI enumeratedJune 20, 2025
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address101 Marketside Ave Ste 404, Ponte Vedra, FL 32081-1542