| NPI | 1295907376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYNDA DIDOMENICO Administrator 954-748-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL me0055176) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |