| NPI | 1922081504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD VAN GILMORE Chief Operating Officer 813-830-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 03-65-0311864) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2008-09-17 |