Central Florida Child Health Program

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CENTRAL FLORIDA CHILD HEALTH PROGRAM

Practice address

7040 Lake Ellenor Drive
Orlando, FL 32809-5750

Phone

(407) 858-6143

Fax

(407) 856-6594

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Cathleen O. Mark

Title

Project Administrator

Phone

(407) 858-6143

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Central Florida Child Health Program2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Florida Child Health Program

  • Case Management Agency
  • Orlando, FL
  • NPI 1558446963
  NPD tax ID

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1376623686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 LAKE ELLENOR DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095750",
            "telephone_number": "407-858-6143",
            "fax_number": "407-856-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 LAKE ELLENOR DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095750",
            "telephone_number": "407-858-6143",
            "fax_number": "407-856-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA CHILD HEALTH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PROJECT ADMINISTRATOR",
        "authorized_official_telephone_number": "407-858-6143",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056105300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Florida Cardiology Group PA
• Central Florida Cardiology Group PA
• Central Florida Care, LLC
• Central Florida Cares Health System, Inc.
• Central Florida Case Management Services,Inc.
• Central Florida Child Health Program
• Central Florida Communities Inc
• Central Florida Community Arts
• Central Florida Convenient Care PLC
• Central Florida Dermatology Associates P a

• Primary Care Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.