Provider First Line Business Practice Location Address:
435 DAUER HALL, BUCKMAN DRIVE
Provider Second Line Business Practice Location Address:
U OF FL SPEECH AND HEARING CLINIC
Provider Business Practice Location Address City Name:
GAINESVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32611-7420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-392-2041
Provider Business Practice Location Address Fax Number:
352-846-2189
Provider Enumeration Date:
11/21/2006