Provider First Line Business Practice Location Address:
ADVANCED CARE CENTER
Provider Second Line Business Practice Location Address:
401 FAIRWOOD AVENUE
Provider Business Practice Location Address City Name:
CLEARWATER
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33759
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-797-6480
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/25/2013