NPI | 1275734816 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT H JAFFE President 239-498-5760 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL OS8523) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2011-06-03 |