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Organization

FLORIDA MHS, INC.

Active
Parent organization
MAGELLAN BEHAVIORAL HEALTH, INC.
Other names
Magellan Complete Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
MAGELLAN BEHAVIORAL HEALTH, INC.
Authorized official
MR. JOHN J DIBERNARDI JR. ESQ. (ASSISTANT SECRETARY)
(410) 953-4703
Entity
Organization

Contact information

Practice address
7400 NW 19TH ST, SUITE C, MIAMI, FL 33126-1242
(305) 717-5310
Mailing address
6950 COLUMBIA GATEWAY DR, COLUMBIA, MD 21046-2706
(410) 953-1000

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
03/20/2012
Last updated
03/20/2012
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