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Organization
METCARE OF FLORIDA
Active
Organization
METCARE OF FLORIDA
Active
Parent organization
HUMANA INC.
Other names
Metcare of Okeechobee
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUMANA INC.
Authorized official
GEMMA ROSELLO (VP OPERATIONS)
(305) 500-2000
Entity
Organization
Contact information
Practice address
208 NE 19TH DR, OKEECHOBEE, FL 34972-1932
(863) 763-6431
(863) 763-2319
Mailing address
6101 BLUE LAGOON DR, SUITE 400, MIAMI, FL 33126-2055
(305) 500-2114
(305) 370-6024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CX415A
MEDICARE NUMBER
FL
Enumeration date
03/03/2015
Last updated
06/10/2016
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