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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
11223G0001XGeneral Practice Dentistry
2261QD0000XDental Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609546126
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 : 866-234-8534
Fax Number :
Provider Business Practice Location Address
First Line : 130 RIDGE CENTER DR
Second Line :
City : DAVENPORT
State : FL
Zip : 33837-6413
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 : 09/16/2021
Last Update Date : 05/15/2025

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