CENTRAL FLORIDA WOUND AND DERM LLC
NPI 1710874391
Family Medicine in Maitland, FL

Active since June 18, 2025
2400 MAITLAND CENTER PKWY STE 310, MAITLAND, FL 32751(407) 426-4800(407) 426-4820 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Central Florida Wound And Derm Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL FLORIDA WOUND AND DERM LLC (NPI 1710874391) is a healthcare organization registered as a family medicine in Maitland, Florida and active in the NPI registry since June 2025. The organization lists Kacian Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1710874391
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRAL FLORIDA WOUND AND DERM LLC
Location Address2400 MAITLAND CENTER PKWY STE 310Maitland, FL 32751-7442
Mailing Address2400 Maitland Center Pkwy Ste 310Maitland, FL 32751-7442
Fax(407) 426-4820
Organization SubpartNo
Authorized OfficialKacian BrownOwner · (407) 426-4800
Enumeration DateJune 18, 2025
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1710874391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
2400 MAITLAND CENTER PKWY STE 310, Maitland, FL 32751

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Florida Wound And Derm Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Central Florida Wound And Derm LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1508029141
2400 MAITLAND CENTER PKWY STE 310
Maitland, FL 32751
(107) 426-4800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518075407
2400 MAITLAND CENTER PKWY STE 310
Maitland, FL 32751
(352) 329-1800
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Florida Wound And Derm LLC's NPI number?

The NPI number for Central Florida Wound And Derm LLC is 1710874391. It was assigned to this organization in the NPPES registry on June 18, 2025.

Where is Central Florida Wound And Derm LLC located?

Central Florida Wound And Derm LLC is located at 2400 Maitland Center Pkwy Ste 310, Maitland, FL 32751. The listed phone number is (407) 426-4800.

What is Central Florida Wound And Derm LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Central Florida Wound And Derm LLC enrolled in Medicare?

Yes. Central Florida Wound And Derm LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Florida Wound And Derm LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Central Florida Wound And Derm LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Central Florida Wound And Derm LLC was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.