CENTRAL FLORIDA HEALTH CARE, INC. (NPI# 1992316285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992316285 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA HEALTH CARE, INC. |
| Practice Address |
225 Lincoln Ave Lake Wales FL 33853-3546 |
| Mailing Address |
47 5th St Nw Winter Haven FL 33881-4672 |
| Practice Telephone | 8662348534 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | ANN CLAUSSEN (CEO) |
| Authorized Official Telephone | 8632915110 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL FLORIDA HEALTH CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154746899 | Central Florida Health Care, Inc. | Clinic/Center | 106 Nw 9th Avenue, Mulberry, FL 33860 | 2014-03-04 |
| 1790116911 | Central Florida Health Care, Inc. | Clinic/Center | 121 Kd Revell Road, Wauchula, FL 33873 | 2013-12-13 |
| 1447598321 | Central Florida Health Care, Inc. | Dentist | 305 West Central Avenue, Lake Wales, FL 33853 | 2013-01-28 |
| 1750378956 | Central Florida Health Care, Inc. | Clinic/Center | 204 E Palmetto Street, Wauchula, FL 33873-2732 | 2005-10-03 |
| 1063409290 | Central Florida Health Care, Inc. | Clinic/Center | 950 County Road 17a West, Avon Park, FL 33825-2164 | 2005-10-03 |
| 1063408813 | Central Florida Health Care, Inc. | Clinic/Center | 916 Dundee Rd, Dundee, FL 33838-4198 | 2005-09-26 |
| 1972112191 | Central Florida Health Care, Inc. | Clinic/Center | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2020-07-23 |
| 1760015317 | Central Florida Health Care, Inc. | Clinic/Center | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2020-02-21 |
| 1568095065 | Central Florida Health Care, Inc. | Dentist | 1417 Lakeland Hills Blvd Ste 101, Lakeland, FL 33805-3200 | 2020-02-13 |
| 1568004380 | Central Florida Health Care, Inc. | Clinic/Center | 1023 Dundee Rd, Dundee, FL 33838-3101 | 2019-10-14 |
| 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 |
225 LINCOLN AVE |
| City | LAKE WALES |
| State | FL |
| Zip Code | 33853-3546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218998 | Marcel Fundora | Dentist | 701 Fl-60, Lake Wales, FL 33853 | 2020-06-04 |
| 1386291599 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 1255 Florida 60, Suite 300, Lake Wales, FL 33853 | 2019-08-22 |
| 1932753472 | Adeline Brooke Warren | Occupational Therapist | 512 S 11th Street, Lake Wales, FL 33853 | 2019-08-01 |
| 1033563580 | Amber Y Shepard | Family Medicine | 1255 Highway 60 E Ste 500, Lake Wales, FL 33853 | 2016-04-21 |
| 1174982458 | Ledesha Marie Dorothy Maduro | Dentist | 24185 Us Hwy 27 North, Lake Wales, FL 33853 | 2016-02-16 |
| 1528402435 | Buck Andreu Scott | Surgery | 407 S 11th St, Lake Wales, FL 33853 | 2013-04-22 |
| 1447598321 | Central Florida Health Care, Inc. | Dentist | 305 West Central Avenue, Lake Wales, FL 33853 | 2013-01-28 |
| 1972864932 | Kevin T Barlow, Pa. Dba: Winter Haven Audiology and Ridge Audiology. | Clinic/Center | 704 Sr 60 East, Lake Wales, FL 33853 | 2012-06-06 |
| 1316266364 | Elba M Lopez | Massage Therapist | 318 S. First Street, Lake Wales, FL 33853 | 2010-05-28 |
| 1063657955 | Lake Wales Medical Imaging Center One, Inc | Technician, Health Information | 1255 Highway 60 East 110, Lake Wales, FL 33853 | 2008-12-08 |
| Find all providers in zip 33853 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043763139 | Central Florida Health Care, Inc | Clinic/Center | 305 W Central Ave, Lake Wales, FL 33853-4015 | 2016-07-26 |
| 1225337819 | Central Florida Health Care, Inc | Clinic/Center | 305 W Central Ave, Lake Wales, FL 33853-4015 | 2011-03-22 |
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| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
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| 1477199289 | Community Health Centers, Inc. | Clinic/Center | 509 Cagan View Rd, Clermont, FL 34714-6405 | 2019-11-27 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WALES |
| Zip Code | 33853 |
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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.