Provider First Line Business Practice Location Address:
6200 SW 73RD ST
Provider Second Line Business Practice Location Address:
SMH CHILD DEVELOPMENT CENTER
Provider Business Practice Location Address City Name:
SOUTH MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33143-4679
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-662-5080
Provider Business Practice Location Address Fax Number:
786-662-5081
Provider Enumeration Date:
04/27/2006