Provider Demographics
NPI:1285257477
Name:ON CALL WOUND CARE, LLC
Entity type:Organization
Organization Name:ON CALL WOUND CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:BEATRIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:COCCARO WORD
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:239-292-7720
Mailing Address - Street 1:909 SE 47TH TER # 203-1
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9000
Mailing Address - Country:US
Mailing Address - Phone:239-292-7720
Mailing Address - Fax:
Practice Address - Street 1:909 SE 47TH TER STE 203-1
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9000
Practice Address - Country:US
Practice Address - Phone:239-292-7720
Practice Address - Fax:239-257-1149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No251E00000XAgenciesHome Health