NPIMap

Organization Active NPI

Central Florida Health Care, Inc.

Doing business as Central Florida Health Care, Inc. - Lake Wales Dental

  • General Practice Dentistry
  • Lake Wales, FL
National Provider Identifier
1447598321
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CENTRAL FLORIDA HEALTH CARE, INC.
Doing business as
Central Florida Health Care, Inc. - Lake Wales Dental
Practice address
305 West Central Avenue
Lake Wales, FL 33853
Phone
(863) 678-4360
Fax
(863) 678-4399
NPI assigned
Jan 28, 2013
Last updated
Jan 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL FLORIDA HEALTH CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Authorized official

Name
Ann Claussen
Title
Ceo
Phone
(863) 291-5115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

305 West Central Avenue
Lake Wales, FL 33853

Mailing address

47 5TH Street NW
Winter Haven, FL 33881
Phone (863) 678-4360

Other names 1

  • Central Florida Health Care, Inc. - Lake Wales Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake Avenue Medical Cen87 organizations share this tax ID, including this one
Part of
Lake Avenue Medical Cen

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1447598321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH STREET NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33881",
            "telephone_number": "863-678-4360",
            "fax_number": "863-678-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WEST CENTRAL AVENUE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "33853",
            "telephone_number": "863-678-4360",
            "fax_number": "863-678-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL FLORIDA HEALTH CARE INC",
        "enumeration_date": "2013-01-28",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "CLAUSSEN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-291-5115"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Florida Health Care, Inc. - Lake Wales Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Florida Health Care, Inc. - Lake Wales Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.