| NPI | 1154560514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA GONZALEZ President 305-646-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL HCC7015) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |