Provider Demographics
NPI:1174031595
Name:CONTESSA HEALTH OF FLORIDA, LLC
Entity Type:Organization
Organization Name:CONTESSA HEALTH OF FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-635-0294
Mailing Address - Street 1:49 MUSIC SQ W STE 401
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-3287
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:49 MUSIC SQ W STE 401
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-3287
Practice Address - Country:US
Practice Address - Phone:615-635-0298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONTESSA HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management