NPI | 1437551751 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA B DURAN Administrator 352-437-3034 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL AL12441) |
Enumeration Date | 2014-09-17 |
Last Update Date | 2014-09-17 |