| NPI | 1326341124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDO BLARDONIS President 305-962-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL DN12868) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |