| Organization Name: | HEART OF FLORIDA CARE INC. |
| NPI Number: | 1487821807 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAS LALLY (VICE PRESIDENT) |
| Mailing Address: | 301 S 10th St Haines City |
| State: | FL US |
| Postal Code: | 338445601 |
| Phone Number: | 8634212982 |
| Fax Number: | |
| NPI Enumeration Date: | 05/14/2008 |
| NPI Last Update Date: | 05/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | AL9965 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |