| NPI | 1598122202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN CUNNINGHAM CEO 904-627-6031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 219437) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |