Provider First Line Business Practice Location Address:
1611 NW 12TH AVENUE JACKSON MEMORIAL HOSPITAL,
Provider Second Line Business Practice Location Address:
SURGICAL TRAINING OFFICE - HOLTZ BUILDING, ET 2169
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-585-1280
Provider Business Practice Location Address Fax Number:
305-585-6043
Provider Enumeration Date:
04/20/2018