| Central Florida Health Care-avon Park | |
|
950 County Road 17a W Avon Park FL 33825-2164 | |
| (863) 452-3000 | |
| (863) 452-3069 |
| Full Name | Central Florida Health Care-avon Park |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 950 County Road 17a W, Avon Park, Florida |
| Authorized Official Name and Position | Ann Claussen (CEO) |
| Authorized Official Contact | 8632915110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Health Care-avon Park 47 5th St Nw Winter Haven FL 33881-4672 Ph: (863) 291-5110 | Central Florida Health Care-avon Park 950 County Road 17a W Avon Park FL 33825-2164 Ph: (863) 452-3000 |
| NPI Number | 1003075607 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 01/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003075607 | NPI | - | NPPES |
| 056124004 | Other | FL | MEDICAID MEDICAL FFS |
| 073194302 | Other | FL | MEDICAID DENTAL FFS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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