Provider Demographics
NPI:1942777891
Name:AMERIHEALTH CARITAS FLORIDA
Entity Type:Organization
Organization Name:AMERIHEALTH CARITAS FLORIDA
Other - Org Name:FLORIDA TRUE HEALTH
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR DATA & TECH SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GATTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-937-8474
Mailing Address - Street 1:11631 KEW GARDENS AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2762
Mailing Address - Country:US
Mailing Address - Phone:850-933-1075
Mailing Address - Fax:
Practice Address - Street 1:11631 KEW GARDENS AVE STE 200
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2762
Practice Address - Country:US
Practice Address - Phone:855-464-8812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-30
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1001406-09Medicaid