| NPI | 1578944286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA MARCELA RODRIGUEZ Office Mananger 813-438-8728 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-19 |