CENTRAL FLORIDA WELLNESS LLC
NPI 1205368073
General Practice in Winter Park, FL

Q: What is Central Florida Wellness LLC's NPI number?

The NPI number for Central Florida Wellness LLC is 1205368073. It was assigned to this organization in the NPPES registry on March 31, 2017.

Q: What is Central Florida Wellness LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since March 31, 2017CLIA 10D2128107 · Waiver

1850 W FAIRBANKS AVE, WINTER PARK, FL 32789(407) 226-2993(407) 226-2996 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2023, May 11, 2017, Mar 31, 2017 (3 updates tracked since 2017).

On this page

About Central Florida Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL FLORIDA WELLNESS LLC (NPI 1205368073) is a healthcare organization registered as a general practice in Winter Park, Florida and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Chris Tracy, Owner, as its authorized official.

NPPES Registry Identity

NPI1205368073

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCENTRAL FLORIDA WELLNESS LLC

Location Address1850 W FAIRBANKS AVEWinter Park, FL 32789-4559

Mailing Address7932 W Sand Lake RdOrlando, FL 32819-7263 · (407) 226-2993 · Fax (407) 226-2996

Phone(407) 226-2993

Fax(407) 226-2996

Organization SubpartNo

Authorized OfficialChris TracyOwner · (407) 226-2993

Enumeration DateMarch 31, 2017

Last NPPES UpdateNovember 6, 20233 updates tracked since enumeration

NPPES CertifiedNovember 6, 2023

✔ NPI 1205368073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1850 W FAIRBANKS AVE, Winter Park, FL 32789

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2128107

Central Florida Wellness LLC · Orlando, FL

Active · expires Mar 23, 2027

CLIA Number10D2128107

Laboratory TypePractitioner Other

Certificate Effective DateMarch 24, 2025

Certificate Expiration DateMarch 23, 2027

Laboratory DirectorJ Ligeon

Laboratory Phone(407) 226-2993

Laboratory LocationCentral Florida Wellness LLC8081 Turkey Lake Rd #650, Orlando, FL 32819

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADIANCE HEALTH AND BEAUTY

Specialist

1850 W FAIRBANKS AVE
WINTER PARK, FL 32789

Orange County (407) 758-7874

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Florida Wellness LLC's NPI number?

The NPI number for Central Florida Wellness LLC is 1205368073. It was assigned to this organization in the NPPES registry on March 31, 2017.

Where is Central Florida Wellness LLC located?

Central Florida Wellness LLC is located at 1850 W Fairbanks Ave, Winter Park, FL 32789. The listed phone number is (407) 226-2993.

What is Central Florida Wellness LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Central Florida Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2128107) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Florida Wellness LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Central Florida Wellness LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Florida Wellness LLC was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.