Organization
CENTRAL FLORIDA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM SHORTLEY (OWNER)
(407) 226-2993
Entity
Organization
Contact information
Practice address
1800 W HIBISCUS BLVD STE 131, MELBOURNE, FL 32901-2633
(407) 226-2993
(407) 226-2996
Mailing address
7932 W SAND LAKE RD, ORLANDO, FL 32819-7263
(407) 226-2993
(407) 226-2996
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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