| NPI | 1669400347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REKHA ISSAR Presidant 863-619-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL ME86633) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: FL ME86343) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-08-28 |