Provider First Line Business Practice Location Address:
3030 HARDEN BLVD STE 108
Provider Second Line Business Practice Location Address:
WOUND CARE CENTER
Provider Business Practice Location Address City Name:
LAKELAND
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33803-7973
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-284-1700
Provider Business Practice Location Address Fax Number:
863-284-1728
Provider Enumeration Date:
05/08/2007