NPI | 1770688566 |
---|---|
Former Legal Business Name | CAPITAL GROUP HEALTH SERVICES OF FLORIDA, INC. |
Entity Type | Organization |
Authorized Contact | PAUL A BAWEK Controller 850-383-3427 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 03-) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2022-07-21 |