| NPI | 1700273216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY J STERN President 305-418-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL L15000067268) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |