Provider Demographics
NPI:1114516861
Name:CENTRAL FLORIDA CARE, LLC
Entity Type:Organization
Organization Name:CENTRAL FLORIDA CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MASWAU
Authorized Official - Suffix:
Authorized Official - Credentials:MA CNA
Authorized Official - Phone:407-371-2527
Mailing Address - Street 1:625 WEKIVA CREST DR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-1476
Mailing Address - Country:US
Mailing Address - Phone:407-371-2527
Mailing Address - Fax:
Practice Address - Street 1:625 WEKIVA CREST DR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-1476
Practice Address - Country:US
Practice Address - Phone:407-371-2527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health