Mlmg Of Florida
Health Maintenance Organization in Tampa, FL. Organization (NPI-2).
NPI number1437586872
StatusActive
Last updated in NPPESOct 1, 2013
Details
- NPI
- 1437586872
- Entity type
- Organization (NPI-2)
- Legal business name
- Mlmg Of Florida
- Organization subpart
- No
- Enumeration date
- Oct 1, 2013
- Last updated
- Oct 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Practice location
16578 N Dale Mabry HwyTampa, FL 33618-1325
Phone 803-807-9533
Mailing address
16578 N Dale Mabry HwyTampa, FL 33618-1325
Phone 803-807-9533
Authorized official
Dwayne Pope
Managing Partner
8438125988
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