| NPI | 1609280858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CRUZ Owner 561-303-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL AP2024) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: FL MA60818) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |