C3 WELLNESS LLC NPI 1811490287

NPI Information

NPI: 1811490287
Provider Name: C3 WELLNESS, LLC
Classification: Clinic/Center - 261QM1300X
Specialization: Multi-Specialty
Entity Type: Organization
:
Address: 395 VILLAGE DR
KISSIMMEE, FL
ZIP 34759
Phone: (407) 914-9168

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NPI Details

C3 WELLNESS, LLC is a multi-specialty clinic center in Kissimmee, FL. C3 WELLNESS, LLC NPI is 1811490287. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

395 VILLAGE DR
KISSIMMEE, FL
ZIP 34759-012
Phone: (407) 914-9168
Fax: (407) 337-8005

The provider's authorized official is Marcus Bethea .
The authorized official title is Owner and has the following contact phone number (919) 606-6423.

The enumeration date for this NPI number is 3/13/2018 and was last updated on 4/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor				No
2	171100000X	Acupuncturist				No
3	225100000X	Physical Therapist				No
4	225700000X	Massage Therapist		MA58296	FLORIDA	No
5	225X00000X	Occupational Therapist				No
6	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	024831500	MEDICAID	FLORIDA
2	112243500	MEDICAID	FLORIDA
3	113572200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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