NPI | 1376738393 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA B. BRADLEY President 561-676-2989 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: DC PRC13943) |
Enumeration Date | 2007-09-12 |
Last Update Date | 2007-09-12 |