Central Florida Health Care, Inc. | |
130 Ridge Center Dr Davenport FL 33837-6413 | |
(866) 234-8534 | |
Not Available |
Full Name | Central Florida Health Care, Inc. |
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Speciality | Clinic/Center |
Location | 130 Ridge Center Dr, Davenport, 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 |
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Central Florida Health Care, Inc. 47 5th St Nw Winter Haven FL 33881-4672 Ph: (866) 234-8534 | Central Florida Health Care, Inc. 130 Ridge Center Dr Davenport FL 33837-6413 Ph: (866) 234-8534 |
NPI Number | 1194495614 |
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Provider Enumeration Date | 09/16/2021 |
Last Update Date | 09/16/2021 |
Medicare PECOS PAC ID | 0143127951 |
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Medicare Enrollment ID | O20220309000800 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194495614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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