Provider First Line Business Practice Location Address:
1611 NW 12 AVENUE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF SURGERY, DON SOFFER CLINICAL RESEARCH CEN
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-243-5910
Provider Business Practice Location Address Fax Number:
305-243-4907
Provider Enumeration Date:
04/22/2019