Provider Demographics
NPI:1033863527
Name:AETNA BETTER HEALTH OF FLORIDA INC - REG 11
Entity Type:Organization
Organization Name:AETNA BETTER HEALTH OF FLORIDA INC - REG 11
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR INFORMATICS
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:CULBRETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-558-2042
Mailing Address - Street 1:261 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2002
Mailing Address - Country:US
Mailing Address - Phone:800-441-5501
Mailing Address - Fax:
Practice Address - Street 1:261 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2002
Practice Address - Country:US
Practice Address - Phone:800-441-5501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AETNA BETTER HEALTH OF FLORIDA INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization