| NPI | 1124847876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX HEINTZ Owner 786-531-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |