Central Florida Child Health Program in Orlando - Primary Care
Central Florida Child Health Program - NPI 1376623686
Central Florida Child Health Program is a Primary Care in Orlando, Florida. Central Florida Child Health Program practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Central Florida Child Health Program is 1376623686. The last update date is 2011-04-05.
Central Florida Child Health Program's current location address is 7040 Lake Ellenor Drive, Orlando, Florida. You can contact this provider via phone number 4078586143 and fax number 4078566594. The mailing address for Central Florida Child Health Program is 7040 Lake Ellenor Drive, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Florida Child Health Program |
|---|---|
| Address | 7040 Lake Ellenor Drive, Orlando, Florida |
| Phone Number | 4078586143 |
| Fax Number | 4078566594 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROJECT AD |
|---|---|
| Authorized Official Name | Mark O. Cathleen |
| Telephone Number | 4078586143 |
NPI Number Detail
| NPI Number | 1376623686 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2011-04-05 |
Provider Mailing Address Detail
| Address | 7040 Lake Ellenor Drive |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328095750 |
| Phone Number | 4078586143 |
| Fax Number | 4078566594 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 56105300 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Central Florida Child Health Program by the Centers for Medicare & Medicaid Services?
The Central Florida Child Health Program has been issued the NPI (National Provider Identifier) 1376623686, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Central Florida Child Health Program is physically located?
The Central Florida Child Health Program is physically situated at the following address: 7040 Lake Ellenor Drive, Orlando, FL, 328095750.
What is the Central Florida Child Health Program's specialty and taxonomy code?
The Central Florida Child Health Program's specialty is Primary Care, and the corresponding taxonomy code is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376623686 to Central Florida Child Health Program?
The Centers for Medicare & Medicaid Services originally issued the 1376623686 to Central Florida Child Health Program on 2006-10-17.
When was the information pertaining to Central Florida Child Health Program most recently updated or revised?
The details related to Central Florida Child Health Program, including its address, specialty, and other relevant information, were last updated or revised on 2011-04-05.