Provider First Line Business Practice Location Address:
DEPARTMENT OF PEDIATRICS, HOLTZ CHILDREN'S HOSPITAL
Provider Second Line Business Practice Location Address:
1611 NW 12TH AVENUE, SUITE #6066
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33136-1005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-585-6042
Provider Business Practice Location Address Fax Number:
305-325-0293
Provider Enumeration Date:
05/07/2021