Provider Demographics
NPI:1871526392
Name:THE SUMMIT OF CENTRAL FLORIDA, INC.
Entity type:Organization
Organization Name:THE SUMMIT OF CENTRAL FLORIDA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-880-8700
Mailing Address - Street 1:700 E WELCH RD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-2921
Mailing Address - Country:US
Mailing Address - Phone:407-880-8700
Mailing Address - Fax:407-880-6144
Practice Address - Street 1:700 E WELCH RD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-2921
Practice Address - Country:US
Practice Address - Phone:407-880-8700
Practice Address - Fax:407-880-6144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101992Medicare Oscar/Certification