FLORIDA HEALTH CARE PLAN, INC (NPI# 1558302042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558302042 |
| Entity Type | Organization |
| Organization Name | FLORIDA HEALTH CARE PLAN, INC |
| Other Organization Name | FLORIDA HEALTH CARE PLANS INC. |
| Practice Address |
1340 Ridgewood Ave Holly Hill FL 32117 |
| Mailing Address |
Po Box 9671 Daytona Beach FL 32120-9671 |
| Practice Telephone | 3866767100 |
| Practice Fax Number | 3866767125 |
| Mailing Telephone | 3866767130 |
| Mailing Fax Number | 3866767125 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-10-25 |
| Authorized Official Name | DAVID SCHANDEL (CEO) |
| Authorized Official Telephone | 3866767100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | ========= | FL | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 250255100 | 05 | |
| FL | BCBS | 21156 | 01 |
| FL | RAIL ROAD | DP5943 | 01 |
| Other Name | Type Code |
|---|---|
| Florida Health Care Plans Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098354 | Florida Health Care Plan, Inc | Health Maintenance Organization | 5151 Babcock St Ne, Palm Bay, FL 32905-4610 | 2020-09-18 |
| 1659834026 | Florida Health Care Plan, Inc | Health Maintenance Organization | 1657 Taylor Rd Ste 102, Port Orange, FL 32128-7516 | 2019-04-11 |
| 1467964494 | Florida Health Care Plan, Inc | Pharmacy | 200 Southpark Blvd Ste 206, St Augustine, FL 32086-3129 | 2017-10-31 |
| 1528462645 | Florida Health Care Plan, Inc | Health Maintenance Organization | 1954 Rockledge Blvd, Suite 107, Rockledge, FL 32955-3761 | 2014-10-17 |
| 1730697095 | Florida Health Care Plan, Inc | Health Maintenance Organization | 494 N Washington Ave, Titusville, FL 32796-2871 | 2018-01-19 |
| 1659759827 | Florida Health Care Plan, Inc | Clinic/Center | 2777 Enterprise Rd, Orange City, FL 32763-8310 | 2015-05-08 |
| 1164546875 | Florida Health Care Plan, Inc | Pharmacy | 740 Dunlawton Ave, Ste 150, Port Orange, FL 32127-4239 | 2007-03-19 |
| Street Address |
1340 RIDGEWOOD AVE |
| City | HOLLY HILL |
| State | FL |
| Zip Code | 32117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102159 | Johnsie Carol Grigg | Emergency Medicine | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2005-05-23 |
| 1912419342 | Karen Michelle Berkeley | Social Worker | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2017-10-25 |
| 1316396492 | Jackie S Miller | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2016-06-08 |
| 1487008538 | Nikki Dungan | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2016-04-14 |
| 1568862852 | Jeremy Wright | Physician Assistant | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2014-08-25 |
| 1881015576 | Liem Phan | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2013-12-23 |
| 1013342617 | Terri Lynn Cimmerer | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2013-09-13 |
| 1205185154 | Kaila Lauren Letizia-wang | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2012-09-06 |
| 1669742474 | Mary Flynn Boener | Social Worker | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2012-01-10 |
| 1871879437 | Lisa Nowell | Counselor | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2011-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1679185102 | Crosspoint Medical LLC | Preferred Provider Organization | 8051 N Tamiami Trl Ste E6, Sarasota, FL 34243-2067 | 2020-08-17 |
| 1750991758 | Leanne S Smith, Phd, Lmhc | Preferred Provider Organization | 104 Se 6th St Ste 2, Stuart, FL 34994-3038 | 2020-08-04 |
| 1932717089 | Zei Gezunt Healthcare Pa | Preferred Provider Organization | 16001 Collins Ave Apt 2705, Sunny Isles Beach, FL 33160-5537 | 2020-07-15 |
| 1326508458 | Wellness& Rejuvination Centre, P.a. | Preferred Provider Organization | 270 Nw Peacock Blvd Ste 114, Port St Lucie, FL 34986-1602 | 2019-03-24 |
| 1851850937 | Orkin Pest Control | Preferred Provider Organization | 4800 Woodlane Cir, Tallahassee, FL 32303-6858 | 2019-03-18 |
| 1235602541 | Wc Doc-chasers | Preferred Provider Organization | 5220 69th St E, Palmetto, FL 34221-9397 | 2019-01-09 |
| 1114427390 | Xact Healthcare Solutions LLC | Preferred Provider Organization | 2400 Se Veterans Memorial Pkwy Ste 211, Port St Lucie, FL 34952-4890 | 2018-02-14 |
| 1598264798 | Mahogany Revue R&d Development Center | Preferred Provider Organization | 903 Ne Osceola Ave, Ocala, FL 34470-5208 | 2018-02-03 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY HILL |
| Zip Code | 32117 |
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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.