Active NPI
Central Park Wellness Clinic
- Clinic/Center
- Orlando, FL
National Provider Identifier
1356027221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- CENTRAL PARK WELLNESS CLINIC
- Practice address
- 1713 W Oak Ridge
Orlando, FL 32809 - Phone
- (407) 240-6288
- Fax
- (407) 438-7450
- NPI assigned
- Jun 26, 2023
- 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
- Phuong Tran, APRN
- Title
- Owner
- Phone
- (407) 580-5453
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1713 W Oak Ridge
Orlando, FL 32809
Mailing address
1713 W Oak Ridge
Orlando, FL 32809
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2282527 | Central Park Wellness Clinic Inc | Certificate of waiver | May 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
1713 W Oak Ridge Rd
Orlando, FL 32809
Phone (407) 240-6288
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1912501172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755820800000",
"number": "1356027221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 W OAK RIDGE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1713 W OAK RIDGE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32809",
"telephone_number": "407-240-6288",
"fax_number": "407-438-7450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL PARK WELLNESS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-26",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "PHUONG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-580-5453",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Central Florida Wellness
- Central Florida Wound & Skin Consultants,Inc.
- Central Florida Wound and Skin Consultants
- Central Florida Young Men'S Christian Association, Inc
- Central Palm Beach Physicians & Urgent Care
- Centric Family Medical & Rehab, LLC
- Centurion Healthcare
- Centy'S Alf, Inc
- Dorcas Maria Cepeda, LMHC
- Hank Cepeda
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.