# INETICO, INC

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

## Provider details

- **NPI number:** 1912355892
- **Authorized official:** JOSEPH HODGES (PRESIDENT)
- **Authorized official phone:** (813) 258-2200

## Contact information

- **Practice address:** 400 N ASHLEY DR, SUITE 1550, TAMPA, FL 33602-4300
- **Practice address phone:** (813) 258-2200
- **Mailing address:** 400 N ASHLEY DR, SUITE 1550, TAMPA, FL 33602-4300
- **Mailing address phone:** (813) 258-2200
- **Mailing address fax:** (813) 200-1289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | CMT004186 | FL | Yes |

## Other

- **Enumeration date:** 06/01/2016
- **Last updated:** 06/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CMT004186 | URAC CM | FL |
| 01 | — | DMT004185 | URAC DM | FL |
| 01 | — | HUM004184 | URAC - UM | FL |