Organization Active NPI

Practice Wellness

  • Community/Behavioral Health Agency
  • Orlando, FL
National Provider Identifier
1194533745
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRACTICE WELLNESS
Practice address
4945 S Orange Blossom TRL Ste 6
Orlando, FL 32839-2381
Phone
(954) 553-2047
NPI assigned
Dec 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Luis F Lujan
Title
Ceo
Phone
(954) 553-2047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4945 S Orange Blossom TRL Ste 6
Orlando, FL 32839-2381

Mailing address

4945 S Orange Blossom TRL Ste 6
Orlando, FL 32839-2381

National Provider Directory

National Provider Directory

Locations

4945 S Orange Blossom Trl
Ste 6
Orlando, FL 32839
Phone (407) 964-1440

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1194533745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 S ORANGE BLOSSOM TRL STE 6",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328392381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 S ORANGE BLOSSOM TRL STE 6",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328392381",
            "telephone_number": "954-553-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "LUJAN",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-553-2047"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.