Active NPI
Practice Wellness
- Community/Behavioral Health Agency
- Orlando, FL
National Provider Identifier
1194533745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.