NORTHEAST FLORIDA WOUND CURE AND HYPERBARIC MEDICINE PLLC – NPI #1568359792
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

NORTHEAST FLORIDA WOUND CURE AND HYPERBARIC MEDICINE PLLC is a provider located in SAINT JOHNS, FL. NPPES has assigned the NPI number 1568359792 to NORTHEAST FLORIDA WOUND CURE AND HYPERBARIC MEDICINE PLLC on June 20, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jul 18, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHEAST FLORIDA WOUND CURE AND HYPERBARIC MEDICINE PLLC below.

NPI Profile for
NORTHEAST FLORIDA WOUND CURE AND HYPERBARIC MEDICINE PLLC

NPI Number
1568359792
Enumeration Date

(about a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHEAST FLORIDA WOUND CURE AND HYPERBARIC MEDICINE PLLC
Primary location
205 TRINITY WAY STE 3800
SAINT JOHNS, FL 32259-1155
Phone: (612) 310-8971 Fax:
1 Other location(s):
95 Jaidev Road
St. Johns, FL 32259
Phone: (612) 310-8971
Mailing address
101 MARKETSIDE AVE STE 404
PONTE VEDRA, FL 32081-1542
Phone: (612) 310-8971 Fax:
Organization Subpart
No
Authorized Official
COURTNEY FAHNHORST VIDRINE
CEO
Phone: (612) 310-8971
Updated
Certification Date
Jul 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363L00000X
- Nurse Practitioner
207PE0005X
- Emergency Medicine / Undersea and Hyperbaric Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.