# CENTRAL FLORIDA HEALTH CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL FLORIDA HEALTH CARE INC
- **Other names:** Central Florida Health Care Lakeland OB/GYN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538369251
- **Legal business name:** CENTRAL FLORIDA HEALTH CARE INC
- **Authorized official:** BERNARD FULSE (CFO)
- **Authorized official phone:** (863) 452-3060

## Contact information

- **Practice address:** 1729 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3016
- **Practice address phone:** (863) 686-0082
- **Practice address fax:** (863) 686-2893
- **Mailing address:** 1729 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3016
- **Mailing address phone:** (863) 686-0082
- **Mailing address fax:** (863) 686-2893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2007
- **Last updated:** 07/20/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 77069 | BLUE CROSS BLUE SHIELD | FL |