Organization
CENTRAL FLORIDA FAMILY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE L SMITH DO (CEO/CMO)
(407) 322-8645
Entity
Organization
Contact information
Practice address
5730 LAKE UNDERHILL RD, ORLANDO, FL 32807-4366
(407) 956-4320
(407) 956-4337
Mailing address
5730 LAKE UNDERHILL RD, ORLANDO, FL 32807-4366
(407) 956-4320
(407) 956-4337
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029551508
—
FL
Enumeration date
11/05/2009
Last updated
09/02/2010
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