| NPI | 1184957896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY WHITE Manager 352-667-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2009-09-13 |
| Last Update Date | 2009-09-13 |