NPI 1134108327

Vista Healthplan of South Florida, INC.

Organisation Health Maintenance Organization Hollywood, FL

Practice location

Address: 300 S Park Rd, Hollywood, FL 33021-8593
Phone: (954) 962-3008

Authorised official

Name: Darcey A. Gartner
Title: Vice President of Compliance
Phone: (954) 965-3118

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 03- (FL)

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Registry record

NPI: 1134108327
Entity type: Organization
NPI issued: 16 Jan 2006
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.