| Central Florida Health Care Haines City Pediatrics | |
|
1011 E Main St Haines City FL 33844-4239 | |
| (866) 234-8534 | |
| Not Available |
| Full Name | Central Florida Health Care Haines City Pediatrics |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1011 E Main St, Haines City, 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 Haines City Pediatrics 47 5th St Nw Winter Haven FL 33881-4672 Ph: (863) 291-5110 | Central Florida Health Care Haines City Pediatrics 1011 E Main St Haines City FL 33844-4239 Ph: (866) 234-8534 |
| NPI Number | 1760996565 |
|---|---|
| Provider Enumeration Date | 12/01/2017 |
| Last Update Date | 12/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760996565 | NPI | - | NPPES |
| 022459101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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