Northeast Florida Wound Cure and Hyperbaric Medicine PLLC
NPI 1568359792ActiveOrganization· Family Medicine· St Johns, FL
Family Medicine in St Johns, Florida, registered in NPPES in June 2025. The authorized official on file is Courtney Blair Fahnhorst Vidrine, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568359792 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2025 |
| Last updated in NPPES | Aug 28, 2026 |
| Certified by provider | Aug 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Emergency Medicine, Undersea and Hyperbaric Medicine | 207PE0005X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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