| NPI | 1770856635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY R RUSSELL Owner 727-341-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL SW6791) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |