Organization Active NPI

Wound Care on Wheels LLC

  • Podiatrist
  • Jacksonville, FL
National Provider Identifier
1275768335
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
WOUND CARE ON WHEELS LLC
Practice address
8833 Perimeter Park Blvd
Suite 501
Jacksonville, FL 32216-1109
Phone
(904) 642-0877
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
De Anna M Bell, ARNP
Title
Manager
Phone
(904) 382-4243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

8833 Perimeter Park Blvd
Suite 501
Jacksonville, FL 32216-1109

Mailing address

8833 Perimeter Park Blvd
Suite 501
Jacksonville, FL 32216-1109
Phone (904) 642-0877

National Provider Directory

National Provider Directory

Locations

9664 Hood Rd
Jacksonville, FL 32257
Phone (904) 292-9600

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": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1275768335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD",
            "address_2": "SUITE 501",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161109",
            "telephone_number": "904-642-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD",
            "address_2": "SUITE 501",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161109",
            "telephone_number": "904-642-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE ON WHEELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "DE ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-382-4243",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.