Provider First Line Business Practice Location Address:
2 TAMPA GENERAL CIR FL 6
Provider Second Line Business Practice Location Address:
DEPARTMENT OF NEUROLOGY UNIVERSITY OF SOUTH FLORIDA
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33606-3603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-259-8577
Provider Business Practice Location Address Fax Number:
813-259-8551
Provider Enumeration Date:
05/11/2011