| NPI | 1942498779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX ROJAS President 407-933-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL ME76752) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: FL ME76752) |
| 302R00000X Health Maintenance Organization (Licence: FL ME76752) | |
| 305R00000X Preferred Provider Organization (Licence: FL ME76752) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |