| NPI | 1790905305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE MORRISON President 954-989-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL ME5015) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-09-19 |