| NPI | 1205127578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A CERECEDA President 305-888-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL CH6867) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |