| NPI | 1962944934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTHONY MURAT President 305-972-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL ME85219) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |