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 |