Organization Active NPI

Roa Wound Care Corp

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1770453318
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ROA WOUND CARE CORP
Practice address
4712 Eldorado Dr
Tampa, FL 33615-5033
Phone
(813) 369-2499
NPI assigned
Nov 10, 2025
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Mailet Merino Fornaris, APCNPI 1306417670
Title
Provider
Phone
(786) 532-8078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4712 Eldorado Dr
Tampa, FL 33615-5033

Mailing address

4712 Eldorado Dr
Tampa, FL 33615-5033
Phone (813) 369-2499

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1770453318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 ELDORADO DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336155033",
            "telephone_number": "813-369-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 ELDORADO DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336155033",
            "telephone_number": "813-369-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROA WOUND CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-09",
        "status": "A",
        "authorized_official_last_name": "MERINO FORNARIS",
        "authorized_official_first_name": "MAILET",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "786-532-8078",
        "authorized_official_credential": "APC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.