CENTRAL FLORIDA HEALTH CARE, INC (NPI# 1225337819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225337819 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA HEALTH CARE, INC |
| Other Organization Name | CENTRAL FLORIDA HEALTH CARE, INC. - LAKE WALES |
| Practice Address |
305 W Central Ave Lake Wales FL 33853-4015 |
| Mailing Address |
47 5th St Nw Winter Haven FL 33881-4672 |
| Practice Telephone | 8636784360 |
| Practice Fax Number | 8636784399 |
| Mailing Telephone | 8634523012 |
| Mailing Fax Number | 8632915124 |
| Enumeration Date | 2011-03-22 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAID FQHC | 691835206 | 01 |
| FL | MEDICARE FFS | 77069B | 01 |
| Other Name | Type Code |
|---|---|
| Central Florida Health Care, Inc. - Lake Wales | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740786532 | Central Florida Health Care, Inc | Clinic/Center | 601 S Florida Ave, Lakeland, FL 33801-5237 | 2018-04-02 |
| 1043763139 | Central Florida Health Care, Inc | Clinic/Center | 305 W Central Ave, Lake Wales, FL 33853-4015 | 2016-07-26 |
| 1457742298 | Central Florida Health Care, Inc | Clinic/Center | 1514 1st St N, Winter Haven, FL 33881-2476 | 2015-02-16 |
| 1831232669 | Central Florida Health Care, Inc | Family Medicine | 950 County Road 17a W, Avon Park, FL 33825 | 2007-02-14 |
| 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 |
305 W CENTRAL AVE |
| City | LAKE WALES |
| State | FL |
| Zip Code | 33853-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194798850 | Brenda Gail Register | Registered Nurse | 305 W Central Ave, Lake Wales, FL 33853-4015 | 2006-02-10 |
| 1679058572 | Maxwell Cardenas | Dental Hygienist | 305 W Central Ave, Lake Wales, FL 33853-4015 | 2018-09-27 |
| 1043763139 | Central Florida Health Care, Inc | Clinic/Center | 305 W Central Ave, Lake Wales, FL 33853-4015 | 2016-07-26 |
| 1124499173 | Jean Fritzner Balan | Family Medicine | 305 W Central Ave, Lake Wales, FL 33853-4015 | 2015-10-16 |
| 1285031948 | Beatrice Aime Celian | General Practice | 305 W Central Ave, Lake Wales, FL 33853-4015 | 2014-11-24 |
| 1447691522 | Luciana Michel | Pediatrics | 305 W Central Ave, Lake Wales, FL 33853-4015 | 2013-07-17 |
| 1033408984 | Rebecca Nicole Thomas | Family Medicine | 305 W Central Ave, Lake Wales, FL 33853-4015 | 2011-03-31 |
| 1477710366 | Manisha Rayavarapu | Family Medicine | 305 W Central Ave, Lake Wales, FL 33853-4015 | 2008-05-19 |
| 1578532669 | Anna K Moreau | Nurse Practitioner | 305 W Central Ave, Lake Wales, FL 33853-4015 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218998 | Marcel Fundora | Dentist | 701 Fl-60, Lake Wales, FL 33853 | 2020-06-04 |
| 1386291599 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 1255 Florida 60, Suite 300, Lake Wales, FL 33853 | 2019-08-22 |
| 1932753472 | Adeline Brooke Warren | Occupational Therapist | 512 S 11th Street, Lake Wales, FL 33853 | 2019-08-01 |
| 1033563580 | Amber Y Shepard | Family Medicine | 1255 Highway 60 E Ste 500, Lake Wales, FL 33853 | 2016-04-21 |
| 1174982458 | Ledesha Marie Dorothy Maduro | Dentist | 24185 Us Hwy 27 North, Lake Wales, FL 33853 | 2016-02-16 |
| 1528402435 | Buck Andreu Scott | Surgery | 407 S 11th St, Lake Wales, FL 33853 | 2013-04-22 |
| 1447598321 | Central Florida Health Care, Inc. | Dentist | 305 West Central Avenue, Lake Wales, FL 33853 | 2013-01-28 |
| 1972864932 | Kevin T Barlow, Pa. Dba: Winter Haven Audiology and Ridge Audiology. | Clinic/Center | 704 Sr 60 East, Lake Wales, FL 33853 | 2012-06-06 |
| 1316266364 | Elba M Lopez | Massage Therapist | 318 S. First Street, Lake Wales, FL 33853 | 2010-05-28 |
| 1063657955 | Lake Wales Medical Imaging Center One, Inc | Technician, Health Information | 1255 Highway 60 East 110, Lake Wales, FL 33853 | 2008-12-08 |
| Find all providers in zip 33853 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
| 1043763139 | Central Florida Health Care, Inc | Clinic/Center | 305 W Central Ave, Lake Wales, FL 33853-4015 | 2016-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326132 | Foundcare Inc | Clinic/Center | 5867 Okeechobee Blvd, West Palm Beach, FL 33417-4344 | 2020-11-05 |
| 1720686355 | Mcr Health, Inc. | Clinic/Center | 170 N Lime Ave, Sarasota, FL 34237-6122 | 2020-10-15 |
| 1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
| 1679185292 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 8600 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1001 | 2020-08-17 |
| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| 1477199289 | Community Health Centers, Inc. | Clinic/Center | 509 Cagan View Rd, Clermont, FL 34714-6405 | 2019-11-27 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WALES |
| Zip Code | 33853 |
Please comment or provide details below to improve the information on CENTRAL FLORIDA HEALTH CARE, INC.
| 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.