Provider First Line Business Practice Location Address:
MEMORIAL REGIONAL HOSPITAL
Provider Second Line Business Practice Location Address:
3501 JOHNSON STREET
Provider Business Practice Location Address City Name:
HOLLYWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-873-8886
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/13/2007