| NPI | 1306144183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN E. DAIGLE Owner/Administrator 561-364-7056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |