Provider Demographics
NPI:1740521715
Name:CLINICAL RESEARCH OF CENTRAL FLORIDA, INC
Entity type:Organization
Organization Name:CLINICAL RESEARCH OF CENTRAL FLORIDA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CCRP
Authorized Official - Phone:863-853-5400
Mailing Address - Street 1:2937 DUNHILL CIR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33810-2077
Mailing Address - Country:US
Mailing Address - Phone:863-853-5400
Mailing Address - Fax:863-853-5421
Practice Address - Street 1:2937 DUNHILL CIR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33810-2077
Practice Address - Country:US
Practice Address - Phone:863-853-5400
Practice Address - Fax:863-853-5421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Single Specialty