| NPI | 1780389601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIDA BOUHAMID CFO 941-552-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2025-01-28 |