NPIMap

Organization Active NPI

Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Avon Park, FL
National Provider Identifier
1831232669
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRAL FLORIDA HEALTH CARE, INC
Practice address
950 County Road 17a W
Avon Park, FL 33825
Phone
(863) 452-3000
Fax
(863) 452-3001
NPI assigned
Feb 14, 2007
Last updated
May 15, 2025By 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 May 15, 2025

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) 291-5110

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
General Practice Dentistry 1223G0001X NU
Family Medicine Physician 207Q00000X FL

Addresses

Primary practice location

950 County Road 17a W
Avon Park, FL 33825

Mailing address

47 5TH St NW
Winter Haven, FL 33881-4672
Phone (863) 268-7850

Other practice location 1

1417 Lakeland Hills Blvd Ste 101
Lakeland, FL 33805-3200
Phone (866) 234-8534

Other identifiers 1

IdentifierTypeStateIssuer
77069OtherFLBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000228 FL Part B Supplier - Clinic/Group Practice 0143127951 Receives reassigned benefits from 157 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lakeland, FL; Winter Haven, FL; Wauchula, FL; Mulberry, FL; Lake Wales, FL; Avon Park, FL; Davenport, FL; Dundee, FL…

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Part of
Lake Avenue Medical Cen

Locations

1350 E Main St
Ste A-5
Bartow, FL 33830
Phone (863) 534-1434

106 NW 9th Ave
Mulberry, FL 33860
Phone (863) 425-6200

Practitioners & affiliated clinicians

Practitioners 111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1831232669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672",
            "telephone_number": "863-268-7850",
            "fax_number": "863-268-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 COUNTY ROAD 17A W",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "33825",
            "telephone_number": "863-452-3000",
            "fax_number": "863-452-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1417 Lakeland Hills Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338053200",
            "country_code": "US",
            "telephone_number": "866-234-8534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL FLORIDA HEALTH CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL FLORIDA HEALTH CARE, INC",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "CLAUSSEN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-291-5110"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "77069",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.