| NPI | 1912251562 |
|---|---|
| Doing Business As | HISCARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANGELA MCFARLAND CEO/Administrator 850-693-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| 305S00000X Point of Service | |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |