| Central Florida Health Care- Lakeland Hills Dental | |
|
1417 Lakeland Hills Blvd Ste 101 Lakeland FL 33805-3200 | |
| (863) 229-7970 | |
| Not Available |
| Full Name | Central Florida Health Care- Lakeland Hills Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 1417 Lakeland Hills Blvd Ste 101, Lakeland, Florida |
| Authorized Official Name and Position | Ann Claussen (CEO) |
| Authorized Official Contact | 8632915110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Health Care- Lakeland Hills Dental 47 5th St Nw Winter Haven FL 33881-4672 Ph: (863) 291-5110 | Central Florida Health Care- Lakeland Hills Dental 1417 Lakeland Hills Blvd Ste 101 Lakeland FL 33805-3200 Ph: (863) 229-7970 |
| NPI Number | 1568095065 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 06/10/2020 |
| Medicare PECOS PAC ID | 0143127951 |
|---|---|
| Medicare Enrollment ID | O20200608002604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568095065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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