Provider First Line Business Practice Location Address:
NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
Provider Second Line Business Practice Location Address:
BLDG H 2005 KNIGHT LANE
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32212-0140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-269-2353
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/21/2007