| NPI | 1255403465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PHILIP SHEESLEY Chief Operating Officer 727-456-6506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 184) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: FL 184) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |