| NPI | 1093972408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HABER VP & Secretary 813-206-1490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 2005112) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2016-05-05 |