| NPI | 1023413648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA JANNETH CARDENAS Administrator 239-234-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: ZZ 3213567) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |