| NPI | 1003121187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZDENKA ROTHENBERG President 561-213-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL AP2843) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |