| NPI | 1366974313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKKE BROOKS BROOKS Director 954-242-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL IMT1950) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |