Join Our Network

Thank you for your interest in joining the SECUR network.

Please mark the county(ies) where you service patients:(Required)

Citrus

Hernando

Hillsborough

Pasco

Pinellas

**Please note that SECUR is only operating in the counties noted above.

Entity Name:(Required)

NPI number(Required)

Tax ID number(Required)

Specialty/service type:(Required)

Service address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone Number:(Required)

Fax

Name:(Required)

First Last

Title(Required)

Phone number:(Required)

Fax:

Email(Required)

Quick Reference Guide - SECUR Health Plan