| NPI | 1548669013 |
|---|---|
| Other Name | PHPG |
| Entity Type | Organization |
| Authorized Contact | GUY RUDOLPH MOISE President And CEO 305-403-2219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |