NPIMap

Organization Active NPI

Central Florida Wound & Skin Consultants,Inc.

  • Wound Care Registered Nurse
  • Orlando, FL
National Provider Identifier
1417050824
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
3110002150 Issued in FL
Legal business name
CENTRAL FLORIDA WOUND & SKIN CONSULTANTS,INC.
Practice address
14325 Bending Branch CT
Orlando, FL 32824
Phone
(407) 359-6426
Fax
(407) 359-6426
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Ms. Mary T Fikert
Title
Office Administrator
Phone
(407) 342-4384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X 3110002150 FL Primary

Addresses

Primary practice location

14325 Bending Branch CT
Orlando, FL 32824

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0005AOtherFLBC BS OF FLORIDA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1417050824",
    "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": "32824",
            "telephone_number": "407-359-6426",
            "fax_number": "407-359-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA WOUND & SKIN CONSULTANTS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "FIKERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "407-342-4384",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "FL",
            "license": "3110002150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF FLORIDA",
            "identifier": "0005A",
            "state": "FL"
        }
    ],
    "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 Sep 10, 2014; 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.