Healthcare Provider Details

I. General information

NPI: 1437394541
Provider Name (Legal Business Name): CENTRAL FLORIDA HEALTH SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2008
Last Update Date: 12/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 LONGLEAF BLVD STE 200
LAKE WALES FL
33859-2542
US

IV. Provider business mailing address

2301 LONGLEAF BLVD STE 200
LAKE WALES FL
33859-2542
US

V. Phone/Fax

Practice location:
  • Phone: 863-232-5111
  • Fax:
Mailing address:
  • Phone: 863-232-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHEAL PRESLEY
Title or Position: CEO
Credential:
Phone: 863-232-5111