| NPI | 1164607784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA GARWOOD Clinical Manager 407-317-7430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL IMH 5299) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |