Provider First Line Business Practice Location Address:
105 NW SANTA FE BLVD
Provider Second Line Business Practice Location Address:
HIGH SPRINGS MEDICAL CENTER
Provider Business Practice Location Address City Name:
HIGH SPRINGS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32655
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
386-454-7746
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2006