Provider Demographics
NPI:1861544843
Name:CENTRAL FLORIDA RESEARCH INC
Entity type:Organization
Organization Name:CENTRAL FLORIDA RESEARCH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-956-3538
Mailing Address - Street 1:245 N SEMINOLE AVE
Mailing Address - Street 2:P.O.BOX 599
Mailing Address - City:LAKE ALFRED
Mailing Address - State:FL
Mailing Address - Zip Code:33850-2119
Mailing Address - Country:US
Mailing Address - Phone:863-956-3538
Mailing Address - Fax:863-956-0839
Practice Address - Street 1:245 N SEMINOLE AVE
Practice Address - Street 2:
Practice Address - City:LAKE ALFRED
Practice Address - State:FL
Practice Address - Zip Code:33850-2119
Practice Address - Country:US
Practice Address - Phone:863-956-3538
Practice Address - Fax:863-956-0839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory