Specialty Care Assistance Corp.
Exclusive Provider Organization in Brandon, FL. Organization (NPI-2).
NPI number1003078221
StatusActive
Last updated in NPPESJun 29, 2008
Details
- NPI
- 1003078221
- Entity type
- Organization (NPI-2)
- Legal business name
- Specialty Care Assistance Corp.
- Organization subpart
- No
- Enumeration date
- Jun 29, 2008
- Last updated
- Jun 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | 228082 | FL | Yes |
Practice location
1721 Woodmarker CtBrandon, FL 33510-2760
Phone 813-802-6175
Mailing address
Po Box 4256Brandon, FL 33509-4256
Authorized official
Jose Rojas
President
8138026175
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