| NPI | 1033374665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANNE BEASLEY Owner 863-248-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL MA44285) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |