| NPI | 1619325289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE WEBB-WASHINGTON Lmt 813-508-1648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL MM21384) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |