Organization
BEST CARE ASSURANCE LLC
Active
Parent organization
LEE MEMORIAL HEALTH SYSTEM
Other names
Vivida Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEE MEMORIAL HEALTH SYSTEM
Authorized official
TAMAR D GORENYUK (COMPLIANCE OFFICER)
(239) 343-1912
Entity
Organization
Contact information
Practice address
6630 ORION DR STE 200, FORT MYERS, FL 33912-4440
(239) 343-1912
Mailing address
6630 ORION DR STE 200, FORT MYERS, FL 33912-4440
(239) 343-1912
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10005560-8
—
FL
Enumeration date
10/23/2018
Last updated
10/23/2018
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