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General NPI Number Information
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NPI Number | 1790116911
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Entity Type | Organization
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Legal Business Name | CENTRAL FLORIDA HEALTH CARE, INC.
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Dates
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Enumeration Date | 12/13/2013
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 807 COBB COURT
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City | WAUCHULA
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State | FL
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Zip | 33873
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Country | US
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Telephone | 866-234-8534
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Fax |
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Provider Business Mailing Address
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Address Line | 47 5TH ST NW
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City | WINTER HAVEN
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State | FL
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Zip | 33881-4672
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Country | US
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Telephone | 863-291-5110
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Fax | 863-291-5128
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Authorized Official
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Title or Position | CEO
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Name | ANN CLAUSSEN
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Credential |
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Telephone | 863-291-5110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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