Organization
CENTRAL FLORIDA HEALTH CARE, INC
Active
Parent organization
CENTRAL FLORIDA HEALTH CARE INC
Other names
Central Florida Health Care, Inc. - 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) 678-4360
(863) 678-4399
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(863) 452-3012
(863) 291-5124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
691835206
MEDICAID FQHC
FL
01
—
77069B
MEDICARE FFS
FL
Enumeration date
03/22/2011
Last updated
05/15/2025
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