Provider First Line Business Practice Location Address:
1190 N.E. 125TH STREET
Provider Second Line Business Practice Location Address:
CHEN MEDICAL NORTH MIAMI (125TH)
Provider Business Practice Location Address City Name:
NORTH MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-891-7500
Provider Business Practice Location Address Fax Number:
305-899-4464
Provider Enumeration Date:
10/10/2007