Provider First Line Business Practice Location Address:
1090 EUCLID AVE
Provider Second Line Business Practice Location Address:
ED SMITH-BALTIMORE ORIOLES-ATHLETIC TRAINING DEPARTMENT
Provider Business Practice Location Address City Name:
SARASOTA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-825-1890
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/27/2013