| Central Florida Health Care, Inc. - Lake Wales | |
|
305 W Central Ave Lake Wales FL 33853-4015 | |
| (863) 678-4360 | |
| (863) 678-4399 |
| Full Name | Central Florida Health Care, Inc. - Lake Wales |
|---|---|
| Speciality | Clinic/Center |
| Location | 305 W Central Ave, Lake Wales, 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. - Lake Wales 47 5th St Nw Winter Haven FL 33881-4672 Ph: (863) 452-3012 | Central Florida Health Care, Inc. - Lake Wales 305 W Central Ave Lake Wales FL 33853-4015 Ph: (863) 678-4360 |
| NPI Number | 1225337819 |
|---|---|
| Provider Enumeration Date | 03/22/2011 |
| Last Update Date | 01/25/2019 |
| Medicare PECOS PAC ID | 0143127951 |
|---|---|
| Medicare Enrollment ID | O20160930000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225337819 | NPI | - | NPPES |
| 691835206 | Other | FL | MEDICAID FQHC |
| 77069B | Other | FL | MEDICARE FFS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Florida) | Primary |
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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 | |
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