Active NPI
Central Florida Wellness
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1477419190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CENTRAL FLORIDA WELLNESS
- Practice address
- 3202 W Kennedy Blvd Ste 2
Tampa, FL 33609-3245 - Phone
- (407) 226-2993
- NPI assigned
- Dec 26, 2025
- Last updated
- Dec 26, 2025
- 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
- John T Shortly
- Title
- Owner
- Phone
- (863) 559-3434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
3202 W Kennedy Blvd Ste 2
Tampa, FL 33609-3245
Mailing address
3202 W Kennedy Blvd Ste 2
Tampa, FL 33609-3245
Phone (407) 226-2993
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 |
|---|---|---|---|
| 10D2002986 | Central Florida Wellness LLC | Certificate of waiver | Jan 28, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Central Florida Wellness LLC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Orlando, FL
- NPI 1619410081
-
- General Practice Physician
- Winter Park, FL
- NPI 1205368073
-
- General Practice Physician
- Melbourne, FL
- NPI 1275008716
-
- Family Medicine Physician
- Wildwood, FL
- NPI 1730844002
-
- General Practice Physician
- Lake Mary, FL
- NPI 1871140988
-
- General Practice Physician
- Winter Garden, FL
- NPI 1982203634
Locations
3202 W Kennedy Blvd
Ste 2
Tampa, FL 33609
Phone (305) 438-8770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766707200000",
"number": "1477419190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 W KENNEDY BLVD STE 2",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093245",
"telephone_number": "407-226-2993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 W KENNEDY BLVD STE 2",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093245",
"telephone_number": "407-226-2993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL FLORIDA WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-26",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A",
"authorized_official_last_name": "SHORTLY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-559-3434"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Central Florida Behavioral Health Network, Inc.
- Central Florida Eye Care Assoicates, Inc.
- Central Florida Home Care, Inc
- Central Florida Hospitalists, Inc
- Central Florida Psychiatry LLC
- Central Medical Equipment Rentals, Inc
- Central Medical Equipment Supply Inc (Central Florida Medical Pharmacy)
- Central Palm Beach Physicians & Urgent Care Inc (MCPB Orthopedics & Neurosurgery)
- Central Senior Home Care Corp
- Central Tampa Pharmacy LLC (Care 360 Pharmacy LTC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.