ALLEVENET QCN

LAKEWOOD RANCH, FL
NPI1366866089
Entity TypeOrganization
Authorized ContactMATTHEW I IMES
President
985-687-5636
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2014-02-17
Last Update Date2014-02-17
Business Address
ALLEVENET QCN
6920 PROFESSIONAL PKWY E LAKEWOOD CORPORATE CENTER A
LAKEWOOD RANCH, FL 34240-8414
Phone number: 941-313-3300
Mailing Address
ALLEVENET QCN
6920 PROFESSIONAL PKWY E LAKEWOOD CORPORATE CENTER A
LAKEWOOD RANCH, FL 34240-8414
Phone number: 941-313-3300