Active NPI
Personic Healthcare LLC
- Wound Care Registered Nurse
- Maitland, FL
National Provider Identifier
1558033100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- Legal business name
- PERSONIC HEALTHCARE LLC
- Practice address
- 555 Winderley PL Ste 300
Maitland, FL 32751-7133 - Phone
- (251) 901-3011
- Fax
- (215) 933-6837
- NPI assigned
- Oct 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fahad Hashmi
- Title
- Owner
- Phone
- (251) 901-3011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | Primary |
Addresses
Primary practice location
555 Winderley PL Ste 300
Maitland, FL 32751-7133
Mailing address
PO Box 8209
Vienna, VA 22183-2058
Phone (251) 901-3011
National Provider Directory
National Provider DirectoryLocations
5590 NE 6th Ave
Ft Lauderdale, FL 33334
Phone (866) 986-0580
1 Harbison Way
Columbia, SC 29212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733702400000",
"number": "1558033100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8209",
"city": "VIENNA",
"state": "VA",
"postal_code": "221832058",
"telephone_number": "251-901-3011",
"fax_number": "251-901-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 WINDERLEY PL STE 300",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517133",
"telephone_number": "251-901-3011",
"fax_number": "215-933-6837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONIC HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-01",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A",
"authorized_official_last_name": "HASHMI",
"authorized_official_first_name": "FAHAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-901-3011"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.