Provider First Line Business Practice Location Address:
410 6TH AVE E MANATEE COUNTY HEALTH DEPARTMENT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRADENTON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34208-1986
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-748-0747
Provider Business Practice Location Address Fax Number:
941-741-3722
Provider Enumeration Date:
03/15/2006