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NPI Code Detail

MEDICARE: CENTRAL FLORIDA HEALTH CARE INC

MEDICARE: CENTRAL FLORIDA HEALTH CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1033605613
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL FLORIDA HEALTH CARE INC
Provider Business Mailing Address
First Line : 47 5TH ST NW
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-4672
Country : US
Telephone Number : 863-268-7850
Fax Number :
Provider Business Practice Location Address
First Line : 903 LOWRY AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33801-7544
Country : US
Telephone Number : 866-234-8534
Fax Number :
Authorized Official
Title or Position : CEO
Name : ANN CLAUSSEN
Credential :
Telephone Number : 863-291-5110
Provider Enumeration Date : 07/06/2018
Last Update Date : 05/07/2025

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Directions to “CENTRAL FLORIDA HEALTH CARE INC ” Practice Location

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