| NPI | 1306109632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN PETROV CEO 561-389-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 080748-1) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2013-11-13 |