Trident Wound Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TRIDENT WOUND CARE LLC

Practice address

2365 Forrest Rd
Winter Park, FL 32789

Phone

(407) 790-0439

NPI assigned

May 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Leonardo Cisneros, D.O.NPI 1770570558

Title

Chief Medical Officer

Phone

(407) 790-0439

Specialties & licenses 1

Addresses

Practitioners 1

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

• Leonardo Cisneros, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Orlando, FL
  • NPI 1770570558
  NPD Authorized official

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1609615178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 FORREST RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32789",
            "telephone_number": "407-790-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 FORREST RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32789",
            "telephone_number": "407-790-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "CISNEROS",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "407-790-0439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David John Tredinnick, PSYD
• Renee Nicole Treviranus, LCSW
• Michael Francis Trevisani, M.D.
• Thomas Patrick Trevisani Sr., MD
• Tricounty Tele Behavioral Services, LLC
• Pat Trim, LCSW
• Quynh Trinh
• Kayla Danielle Tripoli, PA-C
• Mark P Trolice, MD
• Leonilo Viktor Trono

• Home Health Agency in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.