| Central Florida Health Care - Avon Park | |
|
950 County Road 17a West Avon Park FL 33825-2164 | |
| (863) 452-3000 | |
| (963) 452-3069 |
| Full Name | Central Florida Health Care - Avon Park |
|---|---|
| Speciality | Clinic/Center |
| Location | 950 County Road 17a West, Avon Park, 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 - Avon Park 47 5th St Nw Winter Haven FL 33881-4672 Ph: (863) 291-5110 | Central Florida Health Care - Avon Park 950 County Road 17a West Avon Park FL 33825-2164 Ph: (863) 452-3000 |
| NPI Number | 1063409290 |
|---|---|
| Provider Enumeration Date | 10/03/2005 |
| Last Update Date | 01/25/2019 |
| Medicare PECOS PAC ID | 0143127951 |
|---|---|
| Medicare Enrollment ID | O20101006000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063409290 | NPI | - | NPPES |
| 029549304 | Other | FL | MEDCAID FQHC |
| 101847 | Other | FL | MEDICARE FQHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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