Provider First Line Business Practice Location Address:
1295 NW 14 ST, SOUTH BUILDING, SUITE A&B
Provider Second Line Business Practice Location Address:
UNIVERSITY OF MIAMI HOSPITAL
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-243-9120
Provider Business Practice Location Address Fax Number:
305-243-9124
Provider Enumeration Date:
05/25/2006