Organization
AMERIGROUP FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD VAN GILMORE (CHIEF OPERATING OFFICER)
(813) 830-6900
Entity
Organization
Contact information
Practice address
4200 W CYPRESS ST, SUITE 900, TAMPA, FL 33607-4156
(813) 830-6900
(757) 222-2377
Mailing address
4200 W CYPRESS ST, SUITE 900, TAMPA, FL 33607-4156
(813) 830-6900
(757) 222-2377
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
03-65-0311864
FL
Other
Enumeration date
11/28/2005
Last updated
09/17/2008
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