Provider Demographics
NPI:1619225067
Name:HEALTH GROUP CENTER INC
Entity type:Organization
Organization Name:HEALTH GROUP CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:JORGE-FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-267-8823
Mailing Address - Street 1:141 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-4207
Mailing Address - Country:US
Mailing Address - Phone:863-353-1538
Mailing Address - Fax:863-438-6624
Practice Address - Street 1:141 N 6TH ST
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-4207
Practice Address - Country:US
Practice Address - Phone:407-201-7918
Practice Address - Fax:863-438-6624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC10049261QC1800X
208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate HealthGroup - Single Specialty