NPI | 1568095065 |
---|---|
Doing Business As | CENTRAL FLORIDA HEALTH CARE- LAKELAND HILLS DENTAL |
Entity Type | Organization |
Authorized Contact | ANN CLAUSSEN CEO 863-291-5110 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 1223G0001X Dentist General Practice |
Enumeration Date | 2020-02-13 |
Last Update Date | 2020-06-10 |