NPIMap

Organization Active NPI

Central Florida Wellness LLC

  • General Practice Physician
  • Winter Garden, FL
National Provider Identifier
1982203634
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CENTRAL FLORIDA WELLNESS LLC
Practice address
15516 W Colonial Dr Ste 111
Winter Garden, FL 34787-9558
Phone
(407) 226-2993
Fax
(407) 226-2996
NPI assigned
Oct 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

15516 W Colonial Dr Ste 111
Winter Garden, FL 34787-9558

Mailing address

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

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1982203634",
    "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": "15516 W COLONIAL DR STE 111",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879558",
            "telephone_number": "407-226-2993",
            "fax_number": "407-226-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "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": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.