Provider First Line Business Practice Location Address:
4815 BAYSHORE BLVD
Provider Second Line Business Practice Location Address:
6TH MEDICAL GROUP
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-827-9870
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/02/2006