NPI | 1164939906 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE ANDINO Director Of Operations 305-913-0059 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL -) |
Enumeration Date | 2018-01-02 |
Last Update Date | 2019-05-15 |