| NPI | 1710034376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE MORRISON President 954-989-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL ME14634) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-10-14 |