| Central Florida Wellness Llc | |
|
1061 S Sun Drove Suite 1041 Lake. Mary FL 32746 | |
| (407) 226-2993 | |
| (407) 226-2996 |
| Full Name | Central Florida Wellness Llc |
|---|---|
| Speciality | General Practice |
| Location | 1061 S Sun Drove, Lake. Mary, Florida |
| Authorized Official Name and Position | John T Shortly (OWNER) |
| Authorized Official Contact | 8635593434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Wellness Llc 8081 Turkey Lake Rd Ste 650 Orlando FL 32819-7321 Ph: (407) 226-2993 | Central Florida Wellness Llc 1061 S Sun Drove Suite 1041 Lake. Mary FL 32746 Ph: (407) 226-2993 |
| NPI Number | 1871140988 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871140988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |