Organization Active NPI

Sunrise Mobile Wound Care PLLC

  • Primary Care Clinic/Center
  • Land O Lakes, FL
National Provider Identifier
1255298352
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SUNRISE MOBILE WOUND CARE PLLC
Practice address
25245 Bunting Cir
Land O Lakes, FL 34639-5535
Phone
(305) 300-6896
NPI assigned
Jan 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Mayelin GonzalezNPI 1215407671
Title
Authorized Official/Member
Phone
(305) 300-6896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

25245 Bunting Cir
Land O Lakes, FL 34639-5535

Mailing address

25245 Bunting Cir
Land O Lakes, FL 34639-5535
Phone (305) 300-6896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260318003573 FL Part B Supplier - Clinic/Group Practice 3577047455 Receives reassigned benefits from 2 practitioners
Practice locations: Land O Lakes, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1255298352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25245 BUNTING CIR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395535",
            "telephone_number": "305-300-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25245 BUNTING CIR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395535",
            "telephone_number": "305-300-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MOBILE WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MAYELIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/MEMBER",
        "authorized_official_telephone_number": "305-300-6896"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.