CENTRAL FLORIDA HEALTH CARE (NPI# 1013301720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013301720 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA HEALTH CARE |
| Other Organization Name | CENTRAL FLORIDA HEALTH CARE, INC. - MULBERRY |
| Practice Address |
106 Nw 9th Ave Mulberry FL 33860-2922 |
| Mailing Address |
47 5th St Nw Winter Haven FL 33881-4672 |
| Practice Telephone | 8634256200 |
| Practice Fax Number | 8634256219 |
| Mailing Telephone | 8634523060 |
| Mailing Fax Number | 8634523069 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | ANN CLAUSSEN (CEO) |
| Authorized Official Telephone | 8634523000 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL FLORIDA HEALTH CARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Central Florida Health Care, Inc. - Mulberry | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRAL FLORIDA HEALTH CARE, INC. | 47 5th St Nw, Winter Haven, FL 33881-4672 |
| Street Address |
106 NW 9TH AVE |
| City | MULBERRY |
| State | FL |
| Zip Code | 33860-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558348383 | Tomas Eduardo De Brigard | Pediatrics | 106 Nw 9th Ave, Mulberry, FL 33860-2922 | 2005-12-22 |
| 1518586585 | Laurie Ann Sweeney | Pharmacist | 106 Nw 9th Ave, Mulberry, FL 33860-2922 | 2020-04-10 |
| 1568947521 | Lisa Jacoby | Dental Hygienist | 106 Nw 9th Ave, Mulberry, FL 33860-2922 | 2018-09-26 |
| 1508398371 | Norma Burke | Dental Hygienist | 106 Nw 9th Ave, Mulberry, FL 33860-2922 | 2017-03-31 |
| 1306295712 | Onize Aiyede | Dentist | 106 Nw 9th Ave, Mulberry, FL 33860-2922 | 2016-06-07 |
| 1811372154 | Viviana Patricia Mora | Dentist | 106 Nw 9th Ave, Mulberry, FL 33860-2922 | 2015-07-28 |
| 1356737605 | Central Florida Health Care, Inc. | Clinic/Center | 106 Nw 9th Ave, Mulberry, FL 33860-2922 | 2015-04-14 |
| 1821482530 | Central Florida Health Care, Inc. | Dentist | 106 Nw 9th Ave, Mulberry, FL 33860-2922 | 2015-03-20 |
| 1275945172 | Guerson Guerrier | Family Medicine | 106 Nw 9th Ave, Mulberry, FL 33860-2922 | 2014-05-27 |
| 1609112408 | Margarette Lespinasse | Nurse Practitioner | 106 Nw 9th Ave, Mulberry, FL 33860 | 2012-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280414 | Marilyn Renee Hobdy | Case Manager/Care Coordinator | 2155 Pump Rd, Mulberry, FL 33860 | 2017-08-11 |
| 1467902353 | Healthstat Onsite Clinic Mosaic South Pierce | Preventive Medicine | 7450 Hwy 630, Mulberry, FL 33860 | 2016-10-04 |
| 1356740757 | Healthstat Onsite Clinic- Mosaic Mulberry | Preventive Medicine | 3095 Highway 640 West, Mulberry, FL 33860 | 2014-08-21 |
| 1154746899 | Central Florida Health Care, Inc. | Clinic/Center | 106 Nw 9th Avenue, Mulberry, FL 33860 | 2014-03-04 |
| 1114056108 | Abhaykumar Sobhagchand Shah | Pharmacist | 6745 North Curch Ave, Mulberry, FL 33860 | 2007-03-05 |
| 1174134845 | Mulberry Ltc Pharmacy, LLC | Pharmacy | 1011 N Church Ave, Mulberry, FL 33860 | 2020-08-14 |
| 1437141686 | Salazar Family Health Care, Inc | Family Medicine | 708 N Church Ave, Mulberry, FL 33860-2034 | 2005-08-15 |
| 1811357775 | Sandra George | Nurse Practitioner | 708 N Church Ave, Mulberry, FL 33860-2034 | 2016-03-03 |
| 1417588625 | Mulberry Food and Pharmacy LLC | Pharmacy | 806 N Church Ave, Mulberry, FL 33860-2036 | 2020-01-28 |
| 1750561619 | Mulberry Pharmacy Inc | Pharmacy | 1011 N Church Ave, Mulberry, FL 33860-2039 | 2007-11-08 |
| Find all providers in zip 33860 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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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.