CENTRAL FLORIDA HEALTH CARE, INC. (NPI# 1003075607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003075607 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA HEALTH CARE, INC. |
| Other Organization Name | CENTRAL FLORIDA HEALTH CARE-AVON PARK |
| Practice Address |
950 County Road 17a W Avon Park FL 33825-2164 |
| Mailing Address |
47 5th St Nw Winter Haven FL 33881-4672 |
| Practice Telephone | 8634523000 |
| Practice Fax Number | 8634523069 |
| Mailing Telephone | 8632915110 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | ANN CLAUSSEN (CEO) |
| Authorized Official Telephone | 8632915110 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL FLORIDA HEALTH CARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAID MEDICAL FFS | 056124004 | 01 |
| FL | MEDICAID DENTAL FFS | 073194302 | 01 |
| Other Name | Type Code |
|---|---|
| Central Florida Health Care-Avon Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
| 1154746899 | Central Florida Health Care, Inc. | Clinic/Center | 106 Nw 9th Avenue, Mulberry, FL 33860 | 2014-03-04 |
| 1790116911 | Central Florida Health Care, Inc. | Clinic/Center | 121 Kd Revell Road, Wauchula, FL 33873 | 2013-12-13 |
| 1447598321 | Central Florida Health Care, Inc. | Dentist | 305 West Central Avenue, Lake Wales, FL 33853 | 2013-01-28 |
| 1750378956 | Central Florida Health Care, Inc. | Clinic/Center | 204 E Palmetto Street, Wauchula, FL 33873-2732 | 2005-10-03 |
| 1063409290 | Central Florida Health Care, Inc. | Clinic/Center | 950 County Road 17a West, Avon Park, FL 33825-2164 | 2005-10-03 |
| 1063408813 | Central Florida Health Care, Inc. | Clinic/Center | 916 Dundee Rd, Dundee, FL 33838-4198 | 2005-09-26 |
| 1972112191 | Central Florida Health Care, Inc. | Clinic/Center | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2020-07-23 |
| 1760015317 | Central Florida Health Care, Inc. | Clinic/Center | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2020-02-21 |
| 1568095065 | Central Florida Health Care, Inc. | Dentist | 1417 Lakeland Hills Blvd Ste 101, Lakeland, FL 33805-3200 | 2020-02-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRAL FLORIDA HEALTH CARE, INC. | 47 5th St Nw, Winter Haven, FL 33881-4672 |
| Street Address |
950 COUNTY ROAD 17A W |
| City | AVON PARK |
| State | FL |
| Zip Code | 33825-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568457422 | Delores R Garcia-chung | Internal Medicine | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2005-09-16 |
| 1972112191 | Central Florida Health Care, Inc. | Clinic/Center | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2020-07-23 |
| 1760015317 | Central Florida Health Care, Inc. | Clinic/Center | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2020-02-21 |
| 1922583988 | Adriana Gil | Dental Hygienist | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2018-09-26 |
| 1831684430 | Elizabeth Rauch | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825 | 2018-06-26 |
| 1336649144 | Teresa Pierre Mcdowall | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825 | 2018-02-19 |
| 1154702348 | Holly Marie Bailey | Social Worker | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2015-06-12 |
| 1609299668 | Misilene Fulse | Pharmacist | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2014-01-28 |
| 1962762799 | Natalie Etienne | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2012-05-27 |
| 1366702698 | Dawn Carla Mccue | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2012-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537610 | Cristina Marie Rivera | Physical Therapy Assistant | 1010 Us-27, Avon Park, FL 33825 | 2018-11-19 |
| 1417404021 | Tamara Jean Pierre IIi | Home Health | 742 S Fair View Terr, Avon Park, FL 33825 | 2016-09-01 |
| 1700017118 | Highlands Advanced Rheumatology and Arthritis Center Pl | Internal Medicine | 596 Us 27 N, Avon Park, FL 33825 | 2009-08-03 |
| 1942347083 | National Mentor Healthcare, LLC | Intermediate Care Facility, Mentally Retarded | 55 E. College Dr., Avon Park, FL 33825 | 2007-01-30 |
| 1508803925 | Tina Mclean | Physician Assistant | 1006 West Pleasant Street, Avon Park, FL 33825 | 2006-06-02 |
| 1265901292 | Stephanie Marie De Silva | Speech-Language Pathologist | 1010 Us-27, Avon Park, FL 33825 | 2018-11-20 |
| 1093200693 | Sasha Arbona | Nurse Practitioner | 1659 Us Highway 27 N Unit 102, Avon Park, FL 33825 | 2018-06-26 |
| 1851700553 | Marisol Caraballo | Internal Medicine | 596 Us Highway 27 N, Avon Park, FL 33825 | 2014-08-06 |
| 1952357816 | Sunaina Khurana | Family Medicine | 1659 Us Highway 27 N Unit 102, Avon Park, FL 33825-2106 | 2006-05-25 |
| 1467093203 | Grace Salagala | Nurse Practitioner | 1659 Us Highway 27 N Unit 102, Avon Park, FL 33825-2106 | 2019-10-02 |
| Find all providers in zip 33825 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112191 | Central Florida Health Care, Inc. | Clinic/Center | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2020-07-23 |
| 1760015317 | Central Florida Health Care, Inc. | Clinic/Center | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2020-02-21 |
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|---|---|---|---|---|
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| 1477152460 | Adapting Behaviors, Inc | Clinic/Center | 12440 Sw 143rd Ln, Miami, FL 33186-6035 | 2020-10-20 |
| 1770182073 | Medical Regenerative Centers | Clinic/Center | 1560 Central Ave Unit 462, Saint Petersburg, FL 33705-1627 | 2020-10-19 |
| 1821696766 | Advanced Healthcare Integration, LLC | Clinic/Center | 445 Pineda Ct Ste 200, Melbourne, FL 32940-7555 | 2020-10-13 |
| 1952909954 | Therapy On Call, LLC | Clinic/Center | 93 Bella Vita Way, Ormond Beach, FL 32174-6634 | 2020-10-12 |
| 1992318521 | Acuity Urgent Care | Clinic/Center | 310 Nesbit St, Punta Gorda, FL 33950-3828 | 2020-08-24 |
| 1932718509 | Coral Diagnostic Center Inc | Clinic/Center | 12002 Sw 128th Ct Ste 202, Miami, FL 33186-4643 | 2020-07-29 |
| 1902422215 | Andreu Health Care Therapy Corp | Clinic/Center | 175 Fontainebleau Blvd Ste 2g7, Miami, FL 33172-7012 | 2020-06-23 |
| 1306461447 | Elevate Medical Fort Myers, LLC | Clinic/Center | 1850 Boy Scout Dr Ste A102, Fort Myers, FL 33907-2127 | 2020-06-15 |
| 1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.