| NPI | 1386925196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C MCCORMICK CEO 954-990-8082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |