| Central Florida Cancer Institute Pa | |
|
2 State Road 60 W Lake Wales FL 33853-4118 | |
| (863) 679-2960 | |
| (863) 679-2781 |
| Full Name | Central Florida Cancer Institute Pa |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2 State Road 60 W, Lake Wales, Florida |
| Authorized Official Name and Position | George Martinez (CFO) |
| Authorized Official Contact | 4075669899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Cancer Institute Pa 1420 Celebration Blvd 308 Celebration FL 34747-5159 Ph: (407) 566-9899 | Central Florida Cancer Institute Pa 2 State Road 60 W Lake Wales FL 33853-4118 Ph: (863) 679-2960 |
| NPI Number | 1780923151 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 04/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780923151 | NPI | - | NPPES |
| 263977700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | ME51222 (Florida) | Primary |
Central Florida Health Care Pharmacy Lake Wales Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W Central Ave, Lake Wales, FL 33853 Phone: 863-676-0054 Fax: 863-676-0079 | |
P. Rene Navarro, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1137 Druid Cir, Lake Wales, FL 33853 Phone: 863-676-0702 Fax: 863-676-2305 | |
Physicians Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1143 State Road 60 E, Lake Wales, FL 33853 Phone: 863-679-8815 Fax: 863-679-8335 | |
Central Florida Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W Central Ave, Lake Wales, FL 33853 Phone: 866-234-8534 | |
Lakeland Regional Health System, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Emerald Ave, Lake Wales, FL 33853 Phone: 863-676-0014 Fax: 863-284-6825 | |
Central Florida Health Care, Inc. - Lake Wales Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 W Central Ave, Lake Wales, FL 33853 Phone: 863-678-4360 Fax: 863-678-4399 | |
American Care Of North Florida, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Carlton Ave Ste 1500, Lake Wales, FL 33853 Phone: 863-270-4546 Fax: 863-638-6337 |