Provider First Line Business Practice Location Address:
PALMETTO FAMILY HEALTH CARE
Provider Second Line Business Practice Location Address:
4821 U.S. HWY 98, SUITE 104
Provider Business Practice Location Address City Name:
SANTA ROSA BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32459
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-622-2055
Provider Business Practice Location Address Fax Number:
580-622-2053
Provider Enumeration Date:
12/13/2006