| NPI | 1265777486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA D FLAND Office Manager 561-641-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL PO1003) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-12-06 |