Provider First Line Business Practice Location Address: 
1475 W 49TH ST
    Provider Second Line Business Practice Location Address: 
EMERGENCY DEPARTMENT
    Provider Business Practice Location Address City Name: 
HIALEAH
    Provider Business Practice Location Address State Name: 
FL
    Provider Business Practice Location Address Postal Code: 
33012-3222
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
305-558-2500
    Provider Business Practice Location Address Fax Number: 
305-826-9002
    Provider Enumeration Date: 
01/12/2006