# CENTRAL FLORIDA WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871140988
- **Authorized official:** JOHN T SHORTLY (OWNER)
- **Authorized official phone:** (863) 559-3434

## Contact information

- **Practice address:** 1061 S SUN DROVE, SUITE 1041, LAKE. MARY, FL 32746
- **Practice address phone:** (407) 226-2993
- **Practice address fax:** (407) 226-2996
- **Mailing address:** 8081 TURKEY LAKE RD STE 650, ORLANDO, FL 32819-7321
- **Mailing address phone:** (407) 226-2993
- **Mailing address fax:** (407) 226-2996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2019
- **Last updated:** 08/22/2019