Provider First Line Business Practice Location Address:
3469 W BOYNTON BEACH BLVD SUITE 10
Provider Second Line Business Practice Location Address:
DALE E EBLING DC
Provider Business Practice Location Address City Name:
BOYNTON BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-732-5885
Provider Business Practice Location Address Fax Number:
561-588-3727
Provider Enumeration Date:
12/13/2006