| NPI | 1811471774 |
|---|---|
| Former Legal Business Name | OPTIONONE HOLDINGS 2, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN SANTANA Chief Operations Officer 305-974-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |