| NPI | 1528300860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL G PENNANT Owner/President 407-291-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL AL 10439) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |