| NPI | 1518037399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES SANCHEZ CAZAU President 305-889-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL ME95970) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2014-05-15 |