| NPI | 1558769943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LAYUGAN BATTUNG Administrator 407-843-0951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL AL4860) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-18 |