| NPI | 1467684878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERIC J FREEMAN Medical Director 407-240-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL HCC5023) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |