| NPI | 1609169986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS A ROSSIQUE Pres 407-617-5988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL OE 1985) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |