CENTRAL FLORIDA HEALTH CARE INC (NPI# 1811156672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811156672 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA HEALTH CARE INC |
| Other Organization Name | CENTRAL FLORIDA HEALTH CARE-WAUCHULA |
| Practice Address |
204 E Palmetto St Wauchula FL 33873-2732 |
| Mailing Address |
47 5th St Nw Winter Haven FL 33881-4672 |
| Practice Telephone | 8637732111 |
| Practice Fax Number | 8637733946 |
| Mailing Telephone | 8632915110 |
| Enumeration Date | 2008-06-06 |
| 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 DENTAL FFS | 073194301 | 01 |
| FL | MEDICAID MEDICAL FFS | 056124000 | 01 |
| Other Name | Type Code |
|---|---|
| Central Florida Health Care-Wauchula | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033605613 | Central Florida Health Care Inc | Clinic/Center | 700 Galvin Dr, Lakeland, FL 33801-6216 | 2018-07-06 |
| 1164418919 | Central Florida Health Care Inc | Obstetrics & Gynecology | 417 Carlton St, Wauchula, FL 33873-3405 | 2005-09-26 |
| 1396205779 | Central Florida Health Care Inc | Optometrist | 705 Ingraham Ave, Haines City, FL 33844-4327 | 2019-03-22 |
| 1386129377 | Central Florida Health Care Inc | Clinic/Center | 705 Ingraham Ave, Haines City, FL 33844-4327 | 2018-09-26 |
| 1679058515 | Central Florida Health Care Inc | Clinic/Center | 916 Hwy 542, Dundee, FL 33838 | 2018-09-26 |
| 1295210151 | Central Florida Health Care Inc | Dentist | 700 Galvin Dr, Lakeland, FL 33801-6216 | 2018-09-26 |
| 1346729068 | Central Florida Health Care Inc | Non-Pharmacy Dispensing Site | 201 Magnolia Ave Sw, Winter Haven, FL 33880-2943 | 2018-08-13 |
| 1508345224 | Central Florida Health Care Inc | Clinic/Center | 121 K D Revell Rd, Wauchula, FL 33873-2051 | 2018-08-13 |
| 1790275576 | Central Florida Health Care Inc | Dentist | 705 Ingraham Ave, Haines City, FL 33844-4327 | 2018-05-16 |
| 1891291407 | Central Florida Health Care Inc | Pharmacy | 601 S Florida Ave Ste 6, Lakeland, FL 33801-5237 | 2018-04-03 |
| Street Address |
204 E PALMETTO ST |
| City | WAUCHULA |
| State | FL |
| Zip Code | 33873-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912994914 | Angela M Cooper | Dentist | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2005-10-04 |
| 1144862152 | Evan Mae Llupar Lachica | Nurse Practitioner | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2019-10-10 |
| 1821553991 | Maria Villeda | Dental Hygienist | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2019-02-04 |
| 1508229709 | Amelia Lazayre Knight | Nurse Practitioner | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2016-04-04 |
| 1609004902 | Andrew Hein | Family Medicine | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2009-06-24 |
| 1831330604 | Mary E Vonmerveldt | Nurse Practitioner | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2009-03-09 |
| 1821286287 | Karen E Mckenzie | Dentist | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2007-10-11 |
| 1639105661 | Yanitt Grisel Lozada Perez | General Practice | 204 E Palmetto St, Wauchula, FL 33873-2732 | 2006-06-23 |
| 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 |
| 1790116911 | Central Florida Health Care, Inc. | Clinic/Center | 121 Kd Revell Road, Wauchula, FL 33873 | 2013-12-13 |
| 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 |
| Find all providers in zip 33873 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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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.