| NPI | 1194967422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUY TROUNH VO Anesthesiologist Assistant 786-554-2253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 367H00000X) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |