CENTRAL FLORIDA HEALTH CARE, INC. (NPI# 1720247588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720247588 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA HEALTH CARE, INC. |
| Other Organization Name | CENTRAL FLORIDA HEALTH CARE - DUNDEE |
| Practice Address |
916 Dundee Rd Dundee FL 33838-4198 |
| Mailing Address |
47 5th St Nw Winter Haven FL 33881-4672 |
| Practice Telephone | 8634193330 |
| Practice Fax Number | 8634198651 |
| Mailing Telephone | 8632915110 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2019-03-15 |
| 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 | 681471901 | 01 |
| Other Name | Type Code |
|---|---|
| Central Florida Health Care - Dundee | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 916 Sr 542, Dundee, FL 33838 | 8634193330 |
| 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 |
916 DUNDEE RD |
| City | DUNDEE |
| State | FL |
| Zip Code | 33838-4198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063408813 | Central Florida Health Care, Inc. | Clinic/Center | 916 Dundee Rd, Dundee, FL 33838-4198 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417712 | Deandra Mahon | Student in an Organized Health Care Education/Training Program | 1523 Vista Del Lago Blvd, Dundee, FL 33838 | 2020-05-01 |
| 1417499542 | Cathleen Chicoine | Nurse Practitioner | 28149 Us 27, Dundee, FL 33838 | 2016-11-07 |
| 1083086656 | Education & Empowerment, Inc. | Day Training, Developmentally Disabled Services | 622 Dundee Road, Dundee, FL 33838 | 2015-10-22 |
| 1689842247 | Kevin Dwayne Cunningham | Pharmacist | 243 Us Highway 27 S, Dundee, FL 33838 | 2008-02-18 |
| 1124192612 | Nicanor S Baguio Jr. | General Practice | 28055 Us Highway 27 South, Dundee Medical Walk In Clinic, Dundee, FL 33838 | 2006-11-17 |
| 1710074497 | Dundee Medical Walk-in Clinic | General Practice | 28055 Highway 27 South, Dundee, FL 33838 | 2006-10-06 |
| 1871514174 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 243 Us Hwy 27 South, Dundee, FL 33838 | 2006-07-21 |
| 1700821121 | Mondello Family Clinic Pa | Clinic/Center | 1023 Sr 542 W, Dundee, FL 33838 | 2006-06-19 |
| 1679058515 | Central Florida Health Care Inc | Clinic/Center | 916 Hwy 542, Dundee, FL 33838 | 2018-09-26 |
| 1770603482 | Wanda W. J. Goldwire | Adult Companion | 207 Grace Ave, Dundee, FL 33838-0102 | 2007-03-29 |
| Find all providers in zip 33838 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 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.