Crescent Wound Care PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CRESCENT WOUND CARE PLLC

Practice address

765 W Nasa Blvd
Melbourne, FL 32901-1815

Phone

(321) 733-5725

Fax

(321) 733-5799

NPI assigned

Apr 28, 2026

Last updated

Apr 28, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohamed Kadry-Hassanein, MDNPI 1164794673

Title

Owner

Phone

(858) 967-3070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Reyes Guerrero, M.D.

  • Internal Medicine Physician
  • Winter Haven, FL
  • NPI 1902175698
  Medicare reassignment
• Mohamed Kadry-Hassanein, MD

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1164794673
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1164368478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 LA JOLLA BLVD STE 622",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377651",
            "telephone_number": "858-221-7726",
            "fax_number": "858-431-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 W NASA BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011815",
            "telephone_number": "321-733-5725",
            "fax_number": "321-733-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "KADRY-HASSANEIN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-967-3070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cre8 Health LLC
• Creative Counseling Centers, LLC
• Joe Morton Creel, D.D.S., M.S.
• Katrina L Creel, MS; BCBA
• Crescent Wound Care Inc
• Laurel Anne Crespo, ARNP
• Betina Cress
• Raymond Crigger, MD
• Nicole Marie Cristofari
• Dale A Crites, PAC

• Surgery Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.