CENTRAL FLORIDA WELLNESS
NPI 1477419190
Internal Medicine in Tampa, FL

Active since December 26, 2025CLIA 10D2002986 · Waiver
3202 W KENNEDY BLVD STE 2, TAMPA, FL 33609(407) 226-2993 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Central Florida Wellness NPPES

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

CENTRAL FLORIDA WELLNESS (NPI 1477419190) is a healthcare organization registered as an internal medicine in Tampa, Florida and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists John T Shortly, Owner, as its authorized official.

NPPES Registry Identity

NPI1477419190
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTRAL FLORIDA WELLNESS
Location Address3202 W KENNEDY BLVD STE 2Tampa, FL 33609-3245
Mailing Address3202 W Kennedy Blvd Ste 2Tampa, FL 33609-3245 · (407) 226-2993
Organization SubpartNo
Authorized OfficialJohn T ShortlyOwner · (863) 559-3434
Enumeration DateDecember 26, 2025
NPPES CertifiedDecember 26, 2025
NPI 1477419190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3202 W KENNEDY BLVD STE 2, Tampa, FL 33609

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

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 10D2002986

Central Florida Wellness LLC · Tampa, FL
Active · expires Jan 28, 2028
CLIA Number10D2002986
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorJohn R. Ligeon
Laboratory Phone(813) 281-0500
Laboratory LocationCentral Florida Wellness LLC3202 West Kennedy Blvd Unit 2, Tampa, FL 33609
CLIA data matches this NPI record on: Address 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.

Nurse Practitioner (Family)
3202 W KENNEDY BLVD STE 2
TAMPA, FL 33609

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's NPI number?

The NPI number for Central Florida Wellness is 1477419190. It was assigned to this organization in the NPPES registry on December 26, 2025.

Where is Central Florida Wellness located?

Central Florida Wellness is located at 3202 W Kennedy Blvd Ste 2, Tampa, FL 33609. The listed phone number is (407) 226-2993.

What is Central Florida Wellness's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Central Florida Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2002986) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Florida Wellness was last updated on December 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.