HUMANITARY MEDICAL CENTER WINTER HAVEN INC
NPI 1780478917
Clinic/Center - Primary Care in Winter Haven, FL

Q: What is Humanitary Medical Center Winter Haven Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since April 04, 2025CLIA 10D2325878 · Waiver

205 1ST ST S STE 101, WINTER HAVEN, FL 33880(813) 499-1500(813) 499-1499 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Humanitary Medical Center Winter Haven Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUMANITARY MEDICAL CENTER WINTER HAVEN INC (NPI 1780478917) is a healthcare organization registered as a primary care in Winter Haven, Florida and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Eliecer Gonzalez, President, as its authorized official.

NPPES Registry Identity

NPI1780478917

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameHUMANITARY MEDICAL CENTER WINTER HAVEN INC

Location Address205 1ST ST S STE 101Winter Haven, FL 33880-3266

Mailing Address3109 W Dr Mlk Blvd Ste 121Tampa, FL 33607-6240 · (813) 468-1866 · Fax (813) 499-1499

Phone(813) 499-1500

Fax(813) 499-1499

Organization SubpartNo

Authorized OfficialEliecer GonzalezPresident · (813) 468-1866

Enumeration DateApril 4, 2025

NPPES CertifiedApril 4, 2025

✔ NPI 1780478917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

205 1ST ST S STE 101, Winter Haven, FL 33880

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Other Names 1

Doing Business AsHumanitary Medical Center Winter Haven Inc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2325878

Humanitary Medical Center Winter Haven Inc · Winter Haven, FL

Active · expires Jun 22, 2027

CLIA Number10D2325878

Laboratory TypePhysician Office

Certificate Effective DateJune 23, 2025

Certificate Expiration DateJune 22, 2027

Laboratory DirectorPablo Lam

Laboratory Phone(863) 877-0064

Laboratory LocationHumanitary Medical Center Winter Haven Inc205 1st Street S, Winter Haven, FL 33880

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Humanitary Medical Center Winter Haven Inc's NPI number?

The NPI number for Humanitary Medical Center Winter Haven Inc is 1780478917. It was assigned to this organization in the NPPES registry on April 4, 2025.

Where is Humanitary Medical Center Winter Haven Inc located?

Humanitary Medical Center Winter Haven Inc is located at 205 1st St S Ste 101, Winter Haven, FL 33880. The listed phone number is (813) 499-1500.

What is Humanitary Medical Center Winter Haven Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Humanitary Medical Center Winter Haven Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2325878) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Humanitary Medical Center Winter Haven Inc was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.