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 |
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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 |
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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 |
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Provider Enumeration Date | 08/22/2019 |
Last Update Date | 08/22/2019 |
Identifier | Type | State | Issuer |
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1871140988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |