Organization
CENTRAL FLORIDA HEALTH CARE, INC.
Active
Parent organization
CENTRAL FLORIDA HEALTH CARE INC
Other names
Central Florida Health Care, Inc. - Lake Wales Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL FLORIDA HEALTH CARE INC
Authorized official
ANN CLAUSSEN (CEO)
(863) 291-5115
Entity
Organization
Contact information
Practice address
305 WEST CENTRAL AVENUE, LAKE WALES, FL 33853
(863) 678-4360
(863) 678-4399
Mailing address
47 5TH STREET NW, WINTER HAVEN, FL 33881
(863) 678-4360
(863) 678-4399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691835207
—
FL
05
—
691835208
—
FL
Enumeration date
01/28/2013
Last updated
01/25/2019
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