Provider Demographics
NPI:1760098354
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
Authorized Official - Prefix:
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 1:1340 RIDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLY HILL
Mailing Address - State:FL
Mailing Address - Zip Code:32117-2320
Mailing Address - Country:US
Mailing Address - Phone:386-676-7173
Mailing Address - Fax:
Practice Address - Street 1:5151 BABCOCK ST NE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905-4610
Practice Address - Country:US
Practice Address - Phone:321-567-7765
Practice Address - Fax:321-567-7763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-18
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy
No333600000XSuppliersPharmacy