| Organization Name: | CENTRAL FLORIDA WOUND AND SKIN CONSULTANTS |
| NPI Number: | 1336389741 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RITA LARACUENTE (VICE PRESIDENT) |
| Mailing Address: | 14325 Bending Branch Ct Orlando |
| State: | FL US |
| Postal Code: | 328246346 |
| Phone Number: | 4073596426 |
| Fax Number: | 4073596426 |
| NPI Enumeration Date: | 02/25/2009 |
| NPI Last Update Date: | 02/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 70410 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ZZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |