| NPI | 1952543050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE ANGLERO Director 954-449-9573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |