Provider Demographics
NPI:1093154528
Name:HEALTHCARE ASSOCIATES OF CENTRAL FLORIDA, LLC
Entity Type:Organization
Organization Name:HEALTHCARE ASSOCIATES OF CENTRAL FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:CUFFE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-203-3830
Mailing Address - Street 1:1118 S ORANGE AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1200
Mailing Address - Country:US
Mailing Address - Phone:407-203-3830
Mailing Address - Fax:407-203-3828
Practice Address - Street 1:1118 S ORANGE AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1200
Practice Address - Country:US
Practice Address - Phone:407-203-3830
Practice Address - Fax:407-203-3828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-18
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL64345207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL18980ZMedicare UPIN