| NPI | 1780414532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER HEINTZ Mbr 786-531-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-19 |