Organization
CENTRAL FLORIDA HEALTH CARE INC
Active
Parent organization
CENTRAL FLORIDA HEALTH CARE INC
Other names
Central Florida Health Care Lakeland OB/GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL FLORIDA HEALTH CARE INC
Authorized official
BERNARD FULSE (CFO)
(863) 452-3060
Entity
Organization
Contact information
Practice address
1729 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3016
(863) 686-0082
(863) 686-2893
Mailing address
1729 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3016
(863) 686-0082
(863) 686-2893
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77069
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/20/2007
Last updated
07/20/2007
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