| NPI | 1770981847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MESA Owner 786-548-4704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL MA66132) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |