Organization Name: | CENTRAL FLORIDA FAMILY HEALTH CENTER |
NPI Number: | 1023155454 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HYLAN BOXER (DIRECTOR OF PHARMACY) |
Mailing Address: | 2400 Sr 415 Sanford |
State: | FL US |
Postal Code: | 32771 |
Phone Number: | 4073222095 |
Fax Number: | 4073225365 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | PH07042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |