Provider First Line Business Practice Location Address:
160 NW 170 ST
Provider Second Line Business Practice Location Address:
PARKWAY REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
NORTH MIAMI BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33162
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-654-5037
Provider Business Practice Location Address Fax Number:
305-654-5237
Provider Enumeration Date:
05/06/2006