Provider First Line Business Practice Location Address:
MIAMI VA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
1201 NW 16TH STREET
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:
305-324-4455
Provider Business Practice Location Address Fax Number:
305-575-7079
Provider Enumeration Date:
09/27/2006