Provider First Line Business Practice Location Address:
14050 NW 14TH ST
Provider Second Line Business Practice Location Address:
TEAM HEALTH
Provider Business Practice Location Address City Name:
SUNRISE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33323-2865
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-424-3672
Provider Business Practice Location Address Fax Number:
954-377-2359
Provider Enumeration Date:
03/10/2006