| NPI | 1134108327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCEY A. GARTNER Vice President Of Compliance 954-965-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 03-) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2022-07-21 |