Provider First Line Business Practice Location Address:
652 21ST STREET
Provider Second Line Business Practice Location Address:
INDIAN RIVER WALK-IN CLINIC
Provider Business Practice Location Address City Name:
VERO BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32960
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
772-299-1092
Provider Business Practice Location Address Fax Number:
772-978-1962
Provider Enumeration Date:
04/19/2007