| NPI | 1295126126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESNER MENTOR President 561-267-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 11422) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |