Organization Active NPI

Woundology Mso LLC

  • Internal Medicine Physician
  • Seminole, FL
National Provider Identifier
1861245565
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WOUNDOLOGY MSO LLC
Practice address
8924 Arabella LN
Seminole, FL 33777-2649
Phone
(727) 214-4622
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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

Authorized official

Name
Patrick Bengston
Title
Co-Founder
Phone
(727) 214-4622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8924 Arabella LN
Seminole, FL 33777-2649

Mailing address

8924 Arabella LN
Seminole, FL 33777-2649
Phone (727) 214-4622

Other names 1

  • Woundology MSO LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733529600000",
    "number": "1861245565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8924 ARABELLA LN",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337772649",
            "telephone_number": "727-214-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8924 ARABELLA LN",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337772649",
            "telephone_number": "727-214-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDOLOGY MSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A",
        "authorized_official_last_name": "BENGSTON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "727-214-4622"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woundology MSO LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.