# FIRST HARBOUR HEALTH MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871126102
- **Authorized official:** DAVID ROMANELLO (VP, OPERATIONS)
- **Authorized official phone:** (352) 459-3661

## Contact information

- **Practice address:** 7320 DELAINEY CT, LAKEWOOD RANCH, FL 34240-8445
- **Practice address phone:** (352) 459-3661
- **Mailing address:** 7320 DELAINEY CT, LAKEWOOD RANCH, FL 34240-8445
- **Mailing address phone:** (352) 459-3661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2020
- **Last updated:** 02/14/2020