| NPI | 1043865249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W HABER Vice President, Secretary 813-206-3252 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |