Provider First Line Business Practice Location Address:
701 W COCOA BEACH CSWY
Provider Second Line Business Practice Location Address:
CAPE CANAVERAL HOSPITAL EMERGENCY ROOM
Provider Business Practice Location Address City Name:
COCOA BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32931-3585
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-799-7150
Provider Business Practice Location Address Fax Number:
321-868-7249
Provider Enumeration Date:
12/02/2005