Organization Active NPI

Central Florida Wound and Skin Consultants

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1336389741
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
70410 Issued in ZZ
Legal business name
CENTRAL FLORIDA WOUND AND SKIN CONSULTANTS
Practice address
14325 Bending Branch CT
Orlando, FL 32824-6346
Phone
(407) 359-6426
Fax
(407) 359-6426
NPI assigned
Feb 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Rita Laracuente, MD
Title
Vice President
Phone
(407) 359-6426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 70410 ZZ Primary

Addresses

Primary practice location

14325 Bending Branch CT
Orlando, FL 32824-6346

Mailing address

PO Box 607521
Orlando, FL 32860-7521
Phone (407) 359-6426

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1336389741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607521",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328607521",
            "telephone_number": "407-359-6426",
            "fax_number": "407-359-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14325 BENDING BRANCH CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328246346",
            "telephone_number": "407-359-6426",
            "fax_number": "407-359-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA WOUND AND SKIN CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "LARACUENTE",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "407-359-6426",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "ZZ",
            "license": "70410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.