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106 Nw 9th Avenue Mulberry FL 33860 | |
(863) 425-6219 | |
(863) 425-6219 |
Full Name | |
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Speciality | Clinic/Center |
Location | 106 Nw 9th Avenue, Mulberry, 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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47 5th St Nw Winter Haven FL 33881-4672 Ph: (863) 291-5110 | 106 Nw 9th Avenue Mulberry FL 33860 Ph: (863) 425-6219 |
NPI Number | 1154746899 |
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Provider Enumeration Date | 03/04/2014 |
Last Update Date | 01/25/2019 |
Medicare PECOS PAC ID | 0143127951 |
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Medicare Enrollment ID | O20150708002326 |
Identifier | Type | State | Issuer |
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1154746899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Central Florida Health Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 N Church Ave, Mulberry, FL 33860 Phone: 866-234-8534 | |
Salazar Family Health Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 N Church Ave, Mulberry, FL 33860 Phone: 863-425-9309 Fax: 863-425-8401 | |
Central Florida Health Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 N Church Ave, Mulberry, FL 33860 Phone: 866-234-8534 |