| NPI | 1912449638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIALITHA MILIEN Manager 786-325-5984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL do5161) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |