Provider First Line Business Practice Location Address:
1400 NW 12TH AVE
Provider Second Line Business Practice Location Address:
ANESTHESIA DEPARTMENT
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33136-1003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-689-5376
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/12/2012