Healthcare Provider Details

I. General information

NPI: 1619225067
Provider Name (Legal Business Name): HEALTH GROUP CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2012
Last Update Date: 09/02/2025
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 N 6TH ST
HAINES CITY FL
33844-4207
US

IV. Provider business mailing address

141 N 6TH ST
HAINES CITY FL
33844-4207
US

V. Phone/Fax

Practice location:
  • Phone: 407-201-7918
  • Fax: 863-438-6624
Mailing address:
  • Phone: 863-353-1538
  • Fax: 863-438-6624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License NumberHCC10049
License Number StateFL

VIII. Authorized Official

Name: DR. JAIME JORGE-FLORES
Title or Position: CEO
Credential: M.D.
Phone: 407-267-8823