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

Wound100 Medical Florida PLLC

Organization Internal Medicine Physician · NPI 1417827783

Wound100 Medical Florida PLLC is an Internal Medicine Physician in Pembroke Pines, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20809 NW 17th St
Pembroke Pines, FL 33029-2304
Phone: (561) 400-5303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1417827783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leah Ford — Medical Director · (561) 400-5303
NPI enumeratedNovember 10, 2025
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025
Mailing address19681 Chicago St Apt A, Elkhorn, NE 68022-6525

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