| NPI | 1609352178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA MICHELLE LEMA Senior Legal Specialist 813-206-3252 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2019-07-25 |