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NPI Code Detail

MEDICARE: CENTRAL FLORIDA CARE GROUP, INC.

MEDICARE: CENTRAL FLORIDA CARE GROUP, 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
1251E00000XHome Health Agency
2372600000XAdult Companion
3374U00000XHome Health Aide
4376J00000XHomemaker
5253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1396312054
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL FLORIDA CARE GROUP, INC.
Provider Business Mailing Address
First Line : 55 N DOVERPLUM AVE
Second Line :
City : POINCIANA
State : FL
Zip : 34758-3308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 55 N DOVERPLUM AVE
Second Line :
City : POINCIANA
State : FL
Zip : 34758-3308
Country : US
Telephone Number : 407-499-4456
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : TRACEY-ANN ORTIZ
Credential :
Telephone Number : 407-499-4456
Provider Enumeration Date : 06/09/2021
Last Update Date : 02/18/2025

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