Organization
CENTRAL FLORIDA CARE GROUP, INC.
Active
Other names
DenTra Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY-ANN ORTIZ (PRESIDENT)
(407) 202-8279
Entity
Organization
Contact information
Practice address
55 N DOVERPLUM AVE, KISSIMMEE, FL 34758-3308
(407) 499-4456
(863) 496-2524
Mailing address
55 N DOVERPLUM AVE, KISSIMMEE, FL 34758-3308
(407) 499-4456
(863) 496-2524
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015021100
—
FL
05
—
017129100
—
FL
05
—
111382600
—
FL
Enumeration date
05/18/2016
Last updated
02/18/2025
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