CENTRAL FLORIDA HEALTH CARE, INC. (NPI# 1790116911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790116911 |
Entity Type | Organization |
Organization Name | CENTRAL FLORIDA HEALTH CARE, INC. |
Other Organization Name | CENTRAL FLORIDA HEALTH CARE, INC. - HARDEE |
Practice Address |
121 Kd Revell Road Wauchula FL 33873 |
Mailing Address |
47 5th St Nw Winter Haven FL 33881-4672 |
Practice Telephone | 8637670696 |
Practice Fax Number | 8637670697 |
Mailing Telephone | 8632915110 |
Mailing Fax Number | 8632915128 |
Enumeration Date | 2013-12-13 |
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) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Central Florida Health Care, Inc. - Hardee | 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 |
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 |
1568004380 | Central Florida Health Care, Inc. | Clinic/Center | 1023 Dundee Rd, Dundee, FL 33838-3101 | 2019-10-14 |
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 |
121 KD REVELL ROAD |
City | WAUCHULA |
State | FL |
Zip Code | 33873 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134668726 | Davinci Healthcare Management, Inc | In Home Supportive Care | 1772 Doyle Carlton Road, Wauchula, FL 33873 | 2017-02-16 |
1609261056 | Gloria Jean Shackelford | Massage Therapist | 114 W Orange St, Wauchula, FL 33873 | 2015-04-02 |
1386902252 | Peaceful Mental Health Asociate, LLC | Counselor | 105 South 9th Ave., Wauchula, FL 33873 | 2012-04-30 |
1962672105 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 301 S. 6th Ave, Wauchula, FL 33873 | 2008-03-04 |
1225249667 | Magali Bobe | Physical Therapist | 1330 Highway.17 South, Wauchula, FL 33873 | 2007-05-25 |
1285849075 | Dentalcentre of West Fl. Pa | Dentist | 203 South 7th Ave, Wauchula, FL 33873 | 2007-05-14 |
1275680324 | Douglas Oliver Smith | Occupational Therapist | 1330 Highway 17 South, Wauchula, FL 33873 | 2007-01-04 |
1649354713 | Hardee Countyboard of County Commissioners | Ambulance | 149 Kd Revell Rd, Wauchula, FL 33873 | 2006-10-25 |
1194810879 | John Ash | Case Manager/Care Coordinator | 213 E Orange Street, Suite B Peace River Center, Wauchula, FL 33873 | 2006-10-04 |
1225135353 | Sf IIi Tlf, LLC | Rehabilitation Hospital | 1962 Vandolah Road, Wauchula, FL 33873 | 2006-09-20 |
Find all providers in zip 33873 |
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 |
---|---|---|---|---|
1750378956 | Central Florida Health Care, Inc. | Clinic/Center | 204 E Palmetto Street, Wauchula, FL 33873-2732 | 2005-10-03 |
1417437872 | Mcr Health, Inc. | Clinic/Center | 508 S 6th Ave, Wauchula, FL 33873-3211 | 2018-08-15 |
1508345224 | Central Florida Health Care Inc | Clinic/Center | 121 K D Revell Rd, Wauchula, FL 33873-2051 | 2018-08-13 |
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---|---|---|---|---|
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 |
1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
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 |
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.