Provider First Line Business Practice Location Address:
DELAND HIGH SCHOOL
Provider Second Line Business Practice Location Address:
800 N. HILL AVE
Provider Business Practice Location Address City Name:
DELAND
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
386-822-6909
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/27/2006