Organization Name: | TRI COUNTY IPA, INC |
NPI Number: | 1366776098 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID ABELLARD (PRESIDENT) |
Mailing Address: | 4849 Lake Worth Rd Greenacres |
State: | FL US |
Postal Code: | 334633455 |
Phone Number: | 5614334446 |
Fax Number: | 5614333026 |
NPI Enumeration Date: | 09/29/2009 |
NPI Last Update Date: | 09/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |