Organization Name: | CENTRAL FLORIDA HEALTH CARE, INC. |
NPI Number: | 1720247588 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BERNARD FULSE (CFO) |
Mailing Address: | 916 Hwy 542 Dundee |
State: | FL US |
Postal Code: | 338384198 |
Phone Number: | 8634193330 |
Fax Number: | 8634198651 |
NPI Enumeration Date: | 06/06/2008 |
NPI Last Update Date: | 12/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |