| NPI | 1730433590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY LYNN DUGIE Executive Director 863-687-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 1053AD511200) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |