| NPI | 1447014881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER BROWN Manager 561-302-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |