Provider First Line Business Practice Location Address:
JACKSON SOUTH COMMUNITY HOSPITAL
Provider Second Line Business Practice Location Address:
9333 S.W. 152ND STREET
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33157-1778
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-522-5002
Provider Business Practice Location Address Fax Number:
786-522-5002
Provider Enumeration Date:
08/03/2006