MLMG OF FLA

TAMPA, FL
NPI1649607508
Entity TypeOrganization
Authorized ContactDWAYNE POPE
Managing Partner
843-812-5988
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2013-10-08
Last Update Date2013-10-08
Business Address
MLMG OF FLA
16578 N DALE MABRY HWY
TAMPA, FL 33618-1325
Phone number: 843-812-5988
Mailing Address
MLMG OF FLA
16578 N DALE MABRY HWY
TAMPA, FL 33618-1325
Phone number: 843-812-5988
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