CENTRAL FLORIDA WELLNESS LLC (NPI# 1275008716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275008716 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA WELLNESS LLC |
| Practice Address |
1800 W Hibiscus Blvd Ste 131 Melbourne FL 32901-2633 |
| Mailing Address |
7932 W Sand Lake Rd Orlando FL 32819-7263 |
| Practice Telephone | 4072262993 |
| Practice Fax Number | 4072262996 |
| Mailing Telephone | 4072262993 |
| Mailing Fax Number | 4072262996 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Authorized Official Name | TIM SHORTLEY (OWNER) |
| Authorized Official Telephone | 4072262993 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1205368073 | Central Florida Wellness LLC | General Practice | 1234 W Fairbanks Ave, Winter Park, FL 32789 | 2017-03-31 |
| Street Address |
1800 W HIBISCUS BLVD STE 131 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891874426 | Sharifa K Maddix | Specialist | 1800 W Hibiscus Blvd Ste 131, Melbourne, FL 32901 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558836361 | Space Coast Health Care Network | General Practice | 1344 S Apollo Blvd Ste 303, Melbourne, FL 32901-3185 | 2018-10-08 |
| 1750899837 | Nu-me Medical Clinic Inc | General Practice | 3150 N Wickham Rd Ste 9, Melbourne, FL 32935-2322 | 2018-01-11 |
| 1629520606 | Medi Melbourne LLC | General Practice | 7630 N Wickham Rd Ste 104, Melbourne, FL 32940-8257 | 2016-10-26 |
| 1700256450 | Medi Melbourne LLC | General Practice | 7630 N Wickham Rd, Suite 104, Melbourne, FL 32940-8257 | 2015-10-06 |
| 1659490712 | John Donovan | General Practice | 201 Plantation Club Dr Apt 1012, Melbourne, FL 32940-1932 | 2007-03-28 |
| 1356883771 | Marathon Health, Inc. | General Practice | 2694 Judge Fran Jamieson Way, C/o Brevard Wellcare- Central, Melbourne, FL 32940 | 2016-11-16 |
| 1568851632 | C & C Healthcare LLC | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2015-01-13 |
| 1629476098 | C & C Healthcare LLC | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2014-12-16 |
| 1033456959 | Linette Cintron-medina | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2013-01-11 |
| 1134371933 | Omnihealthcare Inc | General Practice | 95 Bulldog Blvd, Suite 202, Melbourne, FL 32901-3188 | 2008-10-13 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.