Central Florida Health Care Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CENTRAL FLORIDA HEALTH CARE INC

Doing business as

Central Florida Health Care Lakeland OB GYN

Practice address

1729 Lakeland Hills Blvd
Lakeland, FL 33805-3016

Phone

(863) 686-0082

Fax

(863) 577-1952

NPI assigned

Oct 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bernard Fulse

Title

Cfo

Phone

(863) 452-3060

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Central Florida Health Care Lakeland OB GYN Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1154418820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 COUNTY ROAD 17A W",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252164",
            "telephone_number": "863-452-3060",
            "fax_number": "863-452-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053016",
            "telephone_number": "863-686-0082",
            "fax_number": "863-577-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "FULSE",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "863-452-3060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691835200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "77069",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Florida Health Care Lakeland OB GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.