Provider First Line Business Practice Location Address:
7369 SHERIDAN ST, SUITE 102
Provider Second Line Business Practice Location Address:
PEMBROKE PINES COMMUNITY BASED OUTPATIENT CLINIC
Provider Business Practice Location Address City Name:
HOLLYWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-894-1668
Provider Business Practice Location Address Fax Number:
954-894-6670
Provider Enumeration Date:
07/20/2006