Innovage Florida Pace, LLC

NPI #1316602899 in Tampa, Florida

Provider Information

NPI Number: 1316602899
Entity Type: Organization
Organization Name: Innovage Florida Pace, LLC
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Nov 1, 2021
Last Updated: Nov 1, 2021

Practice Location

Address: INNOVAGE FLORIDA PACE, LLC
Address 2: 4520 SEEDLING CIRCLE
City: Tampa
State: Florida
ZIP Code: 33614
Phone: (844) 204-7867

Authorized Official

Name: GAYLE M WASHINGTON
Title: CREDENTIALING
Phone: (303) 912-7193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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