| NPI | 1669769634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNN E SWEENEY Billing Manager 727-674-8079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |