MLMG OF FLORIDA

TAMPA, FL
NPI1437586872
Entity TypeOrganization
Authorized ContactDWAYNE POPE
Managing Partner
843-812-5988
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2013-10-01
Last Update Date2013-10-01
Business Address
MLMG OF FLORIDA
16578 N DALE MABRY HWY
TAMPA, FL 33618-1325
Phone number: 803-807-9533
Mailing Address
MLMG OF FLORIDA
16578 N DALE MABRY HWY
TAMPA, FL 33618-1325
Phone number: 803-807-9533