Provider First Line Business Practice Location Address:
551 WEST 51ST PLACE
Provider Second Line Business Practice Location Address:
CITRUS HEALTH NETWORK INC
Provider Business Practice Location Address City Name:
HIALEAH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33012-3300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-817-6560
Provider Business Practice Location Address Fax Number:
786-209-2030
Provider Enumeration Date:
06/15/2006