NPI | 1902992431 |
---|---|
Entity Type | Organization |
Authorized Contact | DARLENA M BANAS Clinical Manager 305-252-7575 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 389855-9) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-08-22 |