# CENTRAL FLORIDA WELLNESS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1982203634
- **Authorized official:** JOHN T SHORTLY (OWNER)
- **Authorized official phone:** (863) 559-3434

## Contact information

- **Practice address:** 15516 W COLONIAL DR STE 111, WINTER GARDEN, FL 34787-9558
- **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:** 10/23/2020
- **Last updated:** 10/23/2020