Provider First Line Business Practice Location Address:
3501 JOHNSON ST
Provider Second Line Business Practice Location Address:
MEMORIAL HOSPITALIST GROUP
Provider Business Practice Location Address City Name:
HOLLYWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33021-5421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-205-5111
Provider Business Practice Location Address Fax Number:
305-931-9712
Provider Enumeration Date:
06/29/2006