| Central Florida Health Care, Inc. | |
|
705 Ingraham Ave Haines City FL 33844-4327 | |
| (863) 452-3060 | |
| Not Available |
| Full Name | Central Florida Health Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 705 Ingraham Ave, Haines City, 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, Inc. 47 5th St Nw Winter Haven FL 33881-4672 Ph: (863) 291-5110 | Central Florida Health Care, Inc. 705 Ingraham Ave Haines City FL 33844-4327 Ph: (863) 452-3060 |
| NPI Number | 1396282299 |
|---|---|
| Provider Enumeration Date | 01/30/2017 |
| Last Update Date | 01/25/2019 |
| Medicare PECOS PAC ID | 0143127951 |
|---|---|
| Medicare Enrollment ID | O20170503001534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396282299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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