Organization
CENTRAL FLORIDA HEALTH CARE, INC.
Active
Parent organization
CENTRAL FLORIDA HEALTH CARE INC
Other names
Central Florida Health Care-Frostproof
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
109 W WALL ST, FROSTPROOF, FL 33843-2043
(863) 635-4891
(863) 635-7613
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(863) 291-5110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056124001
MEDICAID FFS
FL
01
—
073194300
MEDICAID DENTAL FFS
FL
Enumeration date
06/06/2008
Last updated
05/01/2024
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