Organization
CENTRAL FLORIDA HEALTH CARE INC
Active
Other names
Central Florida Health Care Lakeland OB GYN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD FULSE (CFO)
(863) 452-3060
Entity
Organization
Contact information
Practice address
1729 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3016
(863) 686-0082
(863) 577-1952
Mailing address
950 COUNTY ROAD 17A W, AVON PARK, FL 33825-2164
(863) 452-3060
(863) 452-3069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691835200
—
FL
01
—
77069
BCBS
FL
Enumeration date
10/06/2006
Last updated
04/22/2008
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