NPI | 1023228863 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK DEAN DRIANO President 954-438-1212 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL 7146) |
Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: FL 7146) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-08-22 |