Provider First Line Business Practice Location Address:
655 W. 8TH STREET
Provider Second Line Business Practice Location Address:
UFJAX - DEPT. OF PEDIATRICS/NEONATOLOGY
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-244-5100
Provider Business Practice Location Address Fax Number:
904-244-4301
Provider Enumeration Date:
09/13/2012