CENTRAL FLORIDA WELLNESS LLC NPI 1871140988

NPI Information

  • NPI: 1871140988
  • Provider Name: CENTRAL FLORIDA WELLNESS LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 10D1088102
  • Address: 1061 S SUN DROVE
    SUITE 1041
    LAKE. MARY, FL
    ZIP 32746
  • Phone: (407) 226-2993

Map and Directions

Get Directions

NPI Details

CENTRAL FLORIDA WELLNESS LLC is a general practice in Lake. Mary, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CENTRAL FLORIDA WELLNESS LLC NPI is 1871140988. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1061 S SUN DROVE
SUITE 1041
LAKE. MARY, FL
ZIP 32746
Phone: (407) 226-2993
Fax: (407) 226-2996

The provider's authorized official is John T Shortly .
The authorized official title is Owner and has the following contact phone number (863) 559-3434.

The CLIA number assigned to this NPI record is 10D1088102 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2019 and was last updated on 8/22/2019.

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
1208D00000XGeneral PracticeYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.