| NPI | 1356486617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUVERNICE CROSKEY C.E.O 305-635-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 592055751) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |