CENTRAL FLORIDA HEALTH CARE, INC. (NPI# 1932368784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932368784 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA HEALTH CARE, INC. |
| Other Organization Name | CENTRAL FLORIDA HEALTH CARE-LAKELAND PRIMARY CARE |
| Practice Address |
1129 N Missouri Ave Lakeland FL 33805-4411 |
| Mailing Address |
47 5th St Nw Winter Haven FL 33881-4672 |
| Practice Telephone | 8634138600 |
| Practice Fax Number | 8634138651 |
| 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 FFS | 691835203 | 01 |
| Other Name | Type Code |
|---|---|
| Central Florida Health Care-Lakeland Primary Care | 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 |
1129 N MISSOURI AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-4411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811968209 | Ezer A Ojeda | Obstetrics & Gynecology | 1129 N Missouri Ave, Lakeland, FL 33805-4411 | 2006-02-01 |
| 1881294775 | Adam M Mckinnon Sr. | Nurse Practitioner | 1129 N Missouri Ave, Lakeland, FL 33805-4411 | 2020-10-29 |
| 1629549118 | Sacha James | Nurse Practitioner | 1129 N Missouri Ave, Lakeland, FL 33805-4411 | 2018-12-10 |
| 1346742111 | Geoffry Michael Hall Jr. | Nurse Practitioner | 1129 N Missouri Ave, Lakeland, FL 33805-4411 | 2018-03-07 |
| 1841606274 | Huey L Metts | Nurse Practitioner | 1129 N Missouri Ave, Lakeland, FL 33805-4411 | 2014-07-07 |
| 1366789109 | Linda Gellatly | Nurse Practitioner | 1129 N Missouri Ave, Lakeland, FL 33805-4411 | 2013-01-14 |
| 1649525320 | Cynthia Diane Dean | Nurse Practitioner | 1129 N Missouri Ave, Lakeland, FL 33805-4411 | 2012-07-18 |
| 1487893277 | Central Florida Health Care, Inc. | Clinic/Center | 1129 N Missouri Ave, Lakeland, FL 33805-4411 | 2009-02-18 |
| 1457533010 | Michael James Buchanan | Internal Medicine | 1129 N Missouri Ave, Lakeland, FL 33805-4411 | 2007-12-05 |
| 1386835064 | Central Florida Health Care, Inc. | Clinic/Center | 1129 N Missouri Ave, Lakeland, FL 33805-4411 | 2007-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409598 | Ethos Health Lakeland, LLC | Clinic/Center | 625 Commerce Dr Ste 104, Lakeland, FL 33813-2733 | 2018-05-31 |
| 1053943787 | Bond Clinic Pa | Clinic/Center | 2039 E Edgewood Dr, Lakeland, FL 33803-3601 | 2020-02-11 |
| 1396217089 | Draughn Butler LLC | Clinic/Center | 2033 E Edgewood Dr Ste 4, Lakeland, FL 33803-3660 | 2018-12-19 |
| 1508258906 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 3015 Lakeland Highlands Rd, Lakeland, FL 33803-4339 | 2015-02-23 |
| 1609280635 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 | 2014-06-18 |
| 1619381803 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 4700 Research Way, Lakeland, FL 33805-8531 | 2014-06-16 |
| 1487068672 | Lakeland Regional Health System, Inc. | Clinic/Center | 1324 Lakeland Hills Blvd, Pavillion - Obgyn, Lakeland, FL 33805-4543 | 2014-06-16 |
| 1063858538 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2013-05-10 |
| 1831534312 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2013-05-09 |
| 1902241482 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2013-05-09 |
| Find all providers in LAKELAND | ||||
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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.