Organization
CENTRAL FLORIDA HEALTH CARE INC
Active
Parent organization
CENTRAL FLORIDA HEALTH CARE, INC.
Other names
Central Florida Health Care Pharmacy
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
950 COUNTY ROAD 17A W, AVON PARK, FL 33825-2164
(863) 452-3040
(863) 452-3047
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(863) 268-7850
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021753100
—
FL
01
—
2012969
PK
—
Enumeration date
06/12/2006
Last updated
09/12/2019
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