| NPI | 1538324967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYVIE NOEL Owner 954-624-5824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 11323) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |