CENTRAL FLORIDA HEALTH CARE INC — NPI 1164418919 (Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) in WAUCHULA, FL)

CMS-1500 Box 24J / 33a • NPI

1164418919

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207V00000X (CMS 16)

Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)

Box 32 Service Location & ZIP+4

417 CARLTON ST, WAUCHULA, FL, 33873-3405

✓ 9-Digit EDI 837 ZIP+4 (33873-3405)

Practice Phone & Referral Fax

(863) 773-0336

Fax: (863) 773-6006

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164418919 (CENTRAL FLORIDA HEALTH CARE INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1164418919` (NPI-2 Organization / Facility)
Provider / Legal Name	CENTRAL FLORIDA HEALTH CARE INC
Plain-English Specialty	Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: `207V00000X` (Obstetrics & Gynecology)
Certifying / Licensing Body	American Board of Obstetrics and Gynecology (ABOG)
Practice Location Address	417 CARLTON ST, WAUCHULA, FL, 33873-3405
Practice Telephone / Fax	Tel: (863) 773-0336 \| Fax: (863) 773-6006
Administrative Mailing Address	950 COUNTY ROAD 17A W, AVON PARK, FL, 33825-2164
Enumeration & Last Sync	Enumerated: 2005-09-26 \| CMS Record Updated: 2007-10-25
Authorized Official	BERNARD FULSE (CFO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

417 CARLTON ST, WAUCHULA, FL, 33873-3405

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Plain-English Taxonomy & CMS Crosswalk (207V00000X)

What Does Taxonomy Code 207V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 16 (Physician/Obstetrics & Gynecology)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CENTRAL FLORIDA HEALTH CARE INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy

Common Therapeutic Classes:

Prenatal Folic Acid, Iron & Progesterone Supplementation
Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207V00000X` — Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CENTRAL FLORIDA HEALTH CARE INC (NPI #1164418919)