| NPI | 1679639322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD E. STRAIN President 954-791-9391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL 54300) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |