Organization
CENTRAL FLORIDA HEALTH CARE, INC
Active
Parent organization
CENTRAL FLORIDA HEALTH CARE, INC.
Other names
Central Florida Health Care Pharmacy Lake Wales
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL FLORIDA HEALTH CARE, INC.
Authorized official
ANN CLAUSSEN (CEO)
(863) 291-5110
Entity
Organization
Contact information
Practice address
305 W CENTRAL AVE, LAKE WALES, FL 33853-4015
(863) 676-0054
(863) 676-0079
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(863) 268-7850
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162227
PK
—
Enumeration date
07/26/2016
Last updated
09/12/2019
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