Mobile Wounddr PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MOBILE WOUNDDR PLLC

Practice address

955 Minnesota Ave
Winter Park, FL 32789-4926

Phone

(248) 915-8986

NPI assigned

Aug 10, 2022

Last updated

Apr 12, 2024By 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

Dr. Channa Williams, DPMNPI 1285757021

Title

Ceo

Phone

(248) 915-8986

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Channa B Williams, DPM

  • Podiatrist
  • Orlando, FL
  • NPI 1285757021
  Medicare reassignment NPD Authorized official
• Janet Marie Thompson, APRN, NP-C

  • Family Nurse Practitioner
  • Casselberry, FL
  • NPI 1508413063
  Medicare reassignment NPD
• Edgar Torres, M.D.

  • General Practice Physician
  • Orlando, FL
  • NPI 1780823252
  Medicare reassignment NPD

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1174251078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MINNESOTA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894926",
            "telephone_number": "248-915-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MINNESOTA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894926",
            "telephone_number": "248-915-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE WOUNDDR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-915-8986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Mitchell, PHD, RDN, LDN, FAND
• Carol Mittelstadt
• Kaamilah Mixon
• Frank Moavero
• Mobile Medical Advantage Inc
• Catherine Mobley, LMHC
• Aqeela Mohamed, MOT
• Mohammad a Latif PA
• Mohammad a. Latif M.D.
• Serena Rose Moitozo

• Podiatrist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.