| NPI | 1104277854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY HASKINS Talent Recruiter 954-947-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 010603117) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |