Provider Demographics
NPI:1386197754
Name:CENTURION HEALTHCARE
Entity Type:Organization
Organization Name:CENTURION HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMGR
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:SEXTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-328-8308
Mailing Address - Street 1:5401 S KIRKMAN RD
Mailing Address - Street 2:SUITE 324
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7940
Mailing Address - Country:US
Mailing Address - Phone:407-536-4444
Mailing Address - Fax:844-791-6090
Practice Address - Street 1:5401 S KIRKMAN RD
Practice Address - Street 2:SUITE 324
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7940
Practice Address - Country:US
Practice Address - Phone:407-536-4444
Practice Address - Fax:844-791-6090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-02
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health