OrganizationActive
Mobile Wound Care Collaborative LLC
NPI 1093697112 · Primary Care Nurse Practitioner · Fort Myers, FL
Provider details
- NPI number
- 1093697112
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Vital Management Group LLC, Mgr(321) 328-9458
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13420 Parker Commons Blvd Ste 106
Fort Myers, FL 33912-1973
Phone: (321) 328-9458
Street-level locationGet directions
Mailing address
13420 Parker Commons Blvd Ste 106
Fort Myers, FL 33912-1973
Registry dates
- Enumerated
- 2025-07-21
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.