| NPI | 1861938706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTIN BEAULIEU President 813-359-9049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL CH10085) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |