NPI | 1073759593 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL LYNN E SWEENEYQ Billing Supervisor 727-674-8079 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2009-01-06 |
Last Update Date | 2009-01-06 |