OrganizationActive
Innovative Wound Care Inc
NPI 1649958752 · Clinic/Center · Boca Raton, FL
Provider details
- NPI number
- 1649958752
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shamil Mardanov, President(440) 829-4477
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES 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
19615 Dinner Key Dr
Boca Raton, FL 33498-4523
Phone: (561) 990-6033
Street-level locationGet directions
Mailing address
19615 Dinner Key Dr
Boca Raton, FL 33498-4523
Registry dates
- Enumerated
- 2023-07-10
- Last updated
- 2023-07-10
- Certified
- 2023-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.