| NPI | 1376927962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSWALDO J PEREZ Counselor Psychology 407-797-7298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL IMH13560) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |