| NPI | 1598922627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DOLLINGER Physician 407-488-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL ME 27363) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |