| NPI | 1477784346 |
|---|---|
| Former Legal Business Name | SAME |
| Entity Type | Organization |
| Authorized Contact | EUGENIA D MAYS Companion Owner 941-580-0622 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 231014) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |