| NPI | 1013184712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALESSANDRIA PITA Office Manager 305-463-9697 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL ch7737) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |