Children'S Healthcare of Central Florida, LLC
Organization Active NPI Primary Care Clinic/Center · Clermont, FL
NPI 1376799593 · NPPES record last updated Aug 8, 2008
Key facts
- NPI
- 1376799593
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- ME77853 (FL)
- Legal business name
- CHILDREN'S HEALTHCARE OF CENTRAL FLORIDA, LLC
- Practice address
- 2105 Hartwood Marsh Rd
Suite 9
Clermont, FL 34711-5389 - Phone
- (352) 404-9200
- Fax
- (352) 404-9232
- NPI assigned
- Aug 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Maria Elena Dumalaog-Watson, MD
- Title
- Manager
- Phone
- (407) 716-5521
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME77853 | FL | Yes |
Addresses
Primary practice location
2105 Hartwood Marsh Rd
Suite 9
Clermont, FL 34711-5389
Mailing address
2105 Hartwood Marsh Rd
Suite 9
Clermont, FL 34711-5389
Phone (352) 404-9200
Other providers in Clermont, FL
- Peter S Chen
- Thomas Cheng
- Kevin Cheung
- Anastasia Chieffallo
- Janet Patricia Chila
- Daniel C Chin
- Lisanne Marie Chiota
- Choice Meds USA, Inc.
- Shobashalini Chokkalingam
- Choose Life Wellness Center, LLC
All providers in Clermont, FL · Primary Care Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.