| NPI | 1861625188 |
|---|---|
| Doing Business As | GPRC |
| Entity Type | Organization |
| Authorized Contact | SYMONE AMANI SOLOMON Adminitrator 305-949-1552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL P09000022827) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |