Provider First Line Business Practice Location Address:
1321 NW 13TH ST
Provider Second Line Business Practice Location Address:
PRE-TRIAL DETENTION CENTER, CORRECTIONS HEALTH SERVICES
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33125-1603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-263-4120
Provider Business Practice Location Address Fax Number:
305-545-4042
Provider Enumeration Date:
01/03/2007