Organization
ADVANCED INTEGRATED CARE ORGANIZATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA M CARDONA (MEMBER)
(863) 797-0053
Entity
Organization
Contact information
Practice address
5423 S. FLORIDA AVE, LAKELAND, FL 33813
(863) 797-0053
Mailing address
PO BOX 1089, HIGHLAND CITY, FL 33846-1089
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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