Organization Active NPI

Central Florida Wellness

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1619410081
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CENTRAL FLORIDA WELLNESS
Practice address
8081 Turkey Lake Rd Ste 650
Orlando, FL 32819-7321
Phone
(407) 226-2993
Fax
(407) 226-2996
NPI assigned
Dec 2, 2016
Last updated
May 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Authorized official

Name
Chris Tracy
Title
Owne
Phone
(407) 226-2993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8081 Turkey Lake Rd Ste 650
Orlando, FL 32819-7321

Mailing address

8081 Turkey Lake Rd Ste 650
Orlando, FL 32819-7321
Phone (407) 226-2993

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2128107Central Florida Wellness LLC8081 Turkey Lake Rd #650, Orlando, FL 32819Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Central Florida Wellness LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8081 Turkey Lake Rd
Ste 650
Orlando, FL 32819
Phone (407) 226-2993

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1619410081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 TURKEY LAKE RD STE 650",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197321",
            "telephone_number": "407-226-2993",
            "fax_number": "407-226-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 TURKEY LAKE RD STE 650",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197321",
            "telephone_number": "407-226-2993",
            "fax_number": "407-226-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNE",
        "authorized_official_telephone_number": "407-226-2993"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 May 28, 2019; 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.

Verify at the official NPI Registry.