Central Florida Child Health Program

LBN: Central Florida Child Health Program
Central Florida Child Health Program is an health care organization with primary practice located at 7040 Lake Ellenor Drive , Orlando FL 32809-5750. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Central Florida Child Health Program can be contacted via phone (407) 858-6143, or through Mark, Cathleen O. via phone (407) 858-6143.

Contact Information

Primary practice address
7040 Lake Ellenor Drive Orlando FL 32809-5750
Phone: (407) 858-6143
Fax: (407) 856-6594
Website:
Map and Directions
Authorized official contact:
Name: Mark, Cathleen O.
Phone: (407) 858-6143

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1376623686
LBN Legal business name Central Florida Child Health Program
DBA Doing business as
Authorized official Mark, Cathleen O.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Apr 5th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376623686 NPPES
Florida MEDICAID 056105300

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