CENTRAL FLORIDA WELLNESS LLC (NPI# 1982203634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982203634 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA WELLNESS LLC |
| Practice Address |
15516 W Colonial Dr Ste 111 Winter Garden FL 34787-9558 |
| Mailing Address |
8081 Turkey Lake Rd Ste 650 Orlando FL 32819-7321 |
| Practice Telephone | 4072262993 |
| Practice Fax Number | 4072262996 |
| Mailing Telephone | 4072262993 |
| Mailing Fax Number | 4072262996 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | JOHN T SHORTLY (OWNER) |
| Authorized Official Telephone | 8635593434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1275008716 | Central Florida Wellness LLC | General Practice | 1800 W Hibiscus Blvd Ste 131, Melbourne, FL 32901-2633 | 2018-10-11 |
| 1205368073 | Central Florida Wellness LLC | General Practice | 1234 W Fairbanks Ave, Winter Park, FL 32789 | 2017-03-31 |
| Street Address |
15516 W COLONIAL DR STE 111 |
| City | WINTER GARDEN |
| State | FL |
| Zip Code | 34787-9558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| 1235759416 | Callie Rebecca Alt | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd, Suite 220, Winter Garden, FL 34787 | 2020-04-17 |
| 1992345102 | Advn Dental Partners Pa | Dentist | 516 S. Dillard Street, Winter Garden, FL 34787 | 2020-01-15 |
| 1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
| 1801449996 | Tiffani Green | Behavior Technician | 678 W Bay St Apt 52, Winter Garden, FL 34787 | 2019-07-18 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1871078089 | Alton Graydon Cumberbatch Sr. | Pharmacist | 646 S. Dillard Street, Winter Garden, FL 34787 | 2018-10-03 |
| 1629551395 | Andrew Petersen | Physical Therapy Assistant | 5204 W. Colonial Drive, Winter Garden, FL 34787 | 2018-09-10 |
| Find all providers in zip 34787 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790169423 | Angelo Rutty Espinoza | General Practice | 871 Vineland Rd Ste B, Winter Garden, FL 34787-3938 | 2015-07-13 |
| 1003205519 | Rafael Perfecto | General Practice | 14143 Lakeview Park Rd, Winter Garden, FL 34787-0091 | 2015-01-21 |
| 1003228404 | Cesar A Orozco | General Practice | 213 S Dillard St Ste 240, Winter Garden, FL 34787-3596 | 2014-05-20 |
| 1225092182 | Lourdes Carrero | General Practice | 5043 Palmetto Park Dr, Winter Garden, FL 34787-5693 | 2006-04-17 |
| 1669445136 | Ruth Esther Matos | General Practice | 319 South Dillard Street, Miracle Health Center, Winter Garden, FL 34787 | 2006-02-07 |
| 1255957155 | Perfecto Medical Clinic, LLC | General Practice | 14143 Lakeview Park Rd, Winter Garden, FL 34787-0091 | 2020-06-17 |
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| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
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| 1427663236 | Yodsui Linaida Llop | General Practice | 634 Cr 531, Sumterville, FL 33585-4916 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | WINTER GARDEN |
| Zip Code | 34787 |
Please comment or provide details below to improve the information on CENTRAL FLORIDA WELLNESS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.