| NPI | 1336194257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MCKINNON Chief Executive Officer 813-740-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |