Organization
INETICO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH HODGES (PRESIDENT)
(813) 258-2200
Entity
Organization
Contact information
Practice address
400 N ASHLEY DR, SUITE 1550, TAMPA, FL 33602-4300
(813) 258-2200
Mailing address
400 N ASHLEY DR, SUITE 1550, TAMPA, FL 33602-4300
(813) 258-2200
(813) 200-1289
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CMT004186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMT004186
URAC CM
FL
01
—
DMT004185
URAC DM
FL
01
—
HUM004184
URAC - UM
FL
Enumeration date
06/01/2016
Last updated
06/01/2016
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