NPI | 1548607716 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY M WATROBSKY Senior Vice President 813-207-0727 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2013-05-29 |
Last Update Date | 2013-05-29 |