Provider First Line Business Practice Location Address:
950 BACKSTAGE LANE
Provider Second Line Business Practice Location Address:
HEALTH SERVICES WALT DISNEY WORLD
Provider Business Practice Location Address City Name:
LAKE BUENA VISTA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-560-7022
Provider Business Practice Location Address Fax Number:
407-560-5657
Provider Enumeration Date:
03/09/2007