| Central Florida Health Care, Inc. | |
|
130 Ridge Center Dr Davenport FL 33837-6413 | |
| (866) 234-8534 | |
| Not Available |
| Full Name | Central Florida Health Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 Ridge Center Dr, Davenport, Florida |
| Authorized Official Name and Position | Ann Claussen (CEO) |
| Authorized Official Contact | 8632915110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Health Care, Inc. 47 5th St Nw Winter Haven FL 33881-4672 Ph: (866) 234-8534 | Central Florida Health Care, Inc. 130 Ridge Center Dr Davenport FL 33837-6413 Ph: (866) 234-8534 |
| NPI Number | 1194495614 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 09/16/2021 |
| Medicare PECOS PAC ID | 0143127951 |
|---|---|
| Medicare Enrollment ID | O20220309000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194495614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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