Provider First Line Business Practice Location Address:
210 N ALEXANDER ST
Provider Second Line Business Practice Location Address:
FOOT HEALTH CENTER
Provider Business Practice Location Address City Name:
PLANT CITY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33563-4362
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-754-3668
Provider Business Practice Location Address Fax Number:
813-752-0093
Provider Enumeration Date:
10/07/2005