| NPI | 1811917123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCEY A. GARTNER Vice President Of Compliance 954-965-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |