| NPI | 1952756868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ZARRANZ Owner 239-349-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME6001) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2017-01-19 |