| NPI | 1497939417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIETTA BANCOLITA LLANES Business Manager 954-943-4606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL al9975) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |