NPI | 1144648304 |
---|---|
Entity Type | Organization |
Authorized Contact | GILDA GARRATON President 954-227-2770 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL OPC 2731) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2014-04-03 |