Organization
THE LIO MISSION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LYNN EDA SWEENEY (BILLING PRESIDENT/MANAGER)
(727) 289-6326
Entity
Organization
Contact information
Practice address
6776 54TH AVE N, SUITE C, ST PETERSBURG, FL 33709-1405
(727) 547-8676
(727) 547-8757
Mailing address
6776 54TH AVE N, SUITE C, ST PETERSBURG, FL 33709-1405
(727) 547-8676
(727) 547-8757
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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