Humana Medical Plan INC
Health Maintenance Organization in Tampa, FL. Organization (NPI-2).
NPI number1104577873
StatusActive
Last updated in NPPESJan 14, 2022
Details
- NPI
- 1104577873
- Entity type
- Organization (NPI-2)
- Legal business name
- Humana Medical Plan INC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2022
- Certification date
- Jan 11, 2022
- Last updated
- Jan 14, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Practice location
3111 W Dr Martin Luther King Jr Blvd Ste 600Tampa, FL 33607-6225
Phone 813-226-7199
Mailing address
3111 W Dr Martin Luther King Jr Blvd Ste 600Tampa, FL 33607-6225
Authorized official
Lori Dunne
Vp, Operations
8132267199
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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