| NPI | 1548546682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS SILVA Optician 305-271-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL DO 6309) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |