Organization
VISTA INSURANCE PLAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARCEY A. GARTNER CHC (VICE PRESIDENT OF COMPLIANCE)
(954) 965-3118
Entity
Organization
Contact information
Practice address
300 S PARK RD, HOLLYWOOD, FL 33021-8593
(800) 447-5116
(954) 986-6082
Mailing address
300 S PARK RD, HOLLYWOOD, FL 33021-8593
(800) 447-5116
(954) 986-6082
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
FL
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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