| NPI | 1124296488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA FRAZIER Office Manager 561-495-4580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 0S6597) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2009-07-01 |