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1891182143
ADVANCED INTEGRATED CARE ORGANIZATION, LLC
LAKELAND, FL
NPI
1891182143
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Entity Type
Organization
Authorized Contact
SANDRA M CARDONA
Member
863-797-0053
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2015-04-23
Last Update Date
2015-04-23
Business Address
ADVANCED INTEGRATED CARE ORGANIZATION, LLC
5423 S. FLORIDA AVE
LAKELAND, FL 33813
Phone number: 863-797-0053
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Mailing Address
ADVANCED INTEGRATED CARE ORGANIZATION, LLC
PO BOX 1089
HIGHLAND CITY, FL 33846-1089
Phone number:
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