Organization
AVID HEALTH PLANS LLC
Active
Other names
AVID HEALTH PLANS
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN O BANJOKO (CFO)
(212) 257-0225
Entity
Organization
Contact information
Practice address
10549 N FLORIDA AVE STE L, TAMPA, FL 33612-6707
(813) 341-4001
(813) 341-4004
Mailing address
PO BOX 17175, TAMPA, FL 33682-7175
(813) 341-4001
(813) 341-4004
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/27/2010
Last updated
06/28/2020
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