Central Florida Health Care, Inc.
Organization Active NPI General Practice Dentistry · Lake Wales, FL
NPI 1447598321 · NPPES record last updated Jan 25, 2019
Key facts
- NPI
- 1447598321
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- CENTRAL FLORIDA HEALTH CARE, INC.
- Practice address
- 305 West Central Avenue
Lake Wales, FL 33853 - Phone
- (863) 678-4360
- Fax
- (863) 678-4399
- NPI assigned
- Jan 28, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- CENTRAL FLORIDA HEALTH CARE INC
Authorized official
- Name
- Ann Claussen
- Title
- Ceo
- Phone
- (863) 291-5115
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Central Fla HLTH Care L
- Part of
- Central Fla HLTH Care L
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 691835207 | Medicaid | FL | |
| 691835208 | Medicaid | FL |
Other names
- Central Florida Health Care, Inc. - Lake Wales Dental
Other providers in Lake Wales, FL
- Central Florida Cancer Institute PA
- Central Florida Care Group, Inc.
- Central Florida Health Care, Inc
- Central Florida Health Care, Inc
- Central Florida Health Care, Inc.
- Central Florida Health Care, Inc.
- Central Florida Health Care, Inc.
- Central Florida Health Systems, Inc
- Central Florida Imaging Associates, LLC
- Nekia Chadwick
All providers in Lake Wales, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2019. 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.