| NPI | 1962789198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DONAT ALI Director 727-341-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL FL SW6302) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2014-01-30 |