| NPI | 1710397500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY THU NGUYEN Manager 321-438-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL ps30855) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |