| NPI | 1619370897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HABER VP & Secretary 813-206-1490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 933-0457) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2016-05-05 |