Provider First Line Business Practice Location Address:
3800 EAST BAY DR
Provider Second Line Business Practice Location Address:
EAST BAY MEDICAL CENTER
Provider Business Practice Location Address City Name:
LARGO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33771
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-539-0505
Provider Business Practice Location Address Fax Number:
727-538-0067
Provider Enumeration Date:
07/10/2006