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CENTRAL FLORIDA WELLNESS LLC
NPI 1275008716
General Practice in Melbourne, FL

Active since October 11, 2018CLIA 10D2159419 · Waiver
1800 W HIBISCUS BLVD STE 131, MELBOURNE, FL 32901(407) 226-2993(407) 226-2996 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Central Florida Wellness Llc NPPES

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

CENTRAL FLORIDA WELLNESS LLC (NPI 1275008716) is a healthcare organization registered as a general practice in Melbourne, Florida and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through December 17, 2026 and lists Tim Shortley, Owner, as its authorized official.

NPPES Registry Identity

NPI1275008716
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCENTRAL FLORIDA WELLNESS LLC
Location Address1800 W HIBISCUS BLVD STE 131Melbourne, FL 32901-2633
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 OfficialTim ShortleyOwner · (407) 226-2993
Enumeration DateOctober 11, 2018
✔ NPI 1275008716 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

1800 W HIBISCUS BLVD STE 131, Melbourne, FL 32901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 10D2159419

Central Florida Wellness LLC · Melbourne, FL
Active · expires Dec 17, 2026
CLIA Number10D2159419
Laboratory TypePractitioner Other
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorJohn Ligeon
Laboratory Phone(321) 234-4200
Laboratory LocationCentral Florida Wellness LLC1800 W Hibiscus Blvd #131, Melbourne, FL 32901
CLIA data matches this NPI record on: Name
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.

SHARIFA K MADDIX MD
Specialist
1800 W HIBISCUS BLVD STE 131
MELBOURNE, FL 32901
Brevard County (321) 234-4200

Frequently Asked Questions

What is CENTRAL FLORIDA WELLNESS LLC's NPI number?

The NPI number assigned to this healthcare provider is 1275008716, enumerated as an "organization" on October 11, 2018.

Where is the provider located?

The provider is located at 1800 W HIBISCUS BLVD STE 131 MELBOURNE, FL 32901 and the phone number is (407) 226-2993.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.

What insurance does CENTRAL FLORIDA WELLNESS LLC accept?

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.