NPI | 1780194928 |
---|---|
Doing Business As | CENTRAL FLORIDA HEALTH CARE HAINES CITY PEDIATRICS |
Entity Type | Organization |
Authorized Contact | ANN CLAUSSEN CEO 863-291-5110 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-10-02 |
Last Update Date | 2019-01-25 |