Provider First Line Business Practice Location Address:
UNIVERSITY OF FLORIDA AT SHANDS
Provider Second Line Business Practice Location Address:
DEPARTMENT OF OTOLARYNGOLOGY 1600 SW ARCHER ROAD M2-228
Provider Business Practice Location Address City Name:
GAINESVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32610-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-273-5199
Provider Business Practice Location Address Fax Number:
352-392-6781
Provider Enumeration Date:
05/16/2011