Provider Demographics
NPI:1659834026
Name:FLORIDA HEALTH CARE PLAN, INC
Entity Type:Organization
Organization Name:FLORIDA HEALTH CARE PLAN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-676-7100
Mailing Address - Street 1:2450 MASON AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-5110
Mailing Address - Country:US
Mailing Address - Phone:386-615-5008
Mailing Address - Fax:386-676-7165
Practice Address - Street 1:1657 TAYLOR RD STE 102
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32128-7516
Practice Address - Country:US
Practice Address - Phone:386-317-8537
Practice Address - Fax:386-317-8540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy
No333600000XSuppliersPharmacy