Provider First Line Business Practice Location Address:
2720 SW 97 AVE STE# 101
Provider Second Line Business Practice Location Address:
B.L.X.-RAY, CORP.
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33165
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-573-9884
Provider Business Practice Location Address Fax Number:
305-573-9662
Provider Enumeration Date:
10/23/2006