Provider First Line Business Practice Location Address:
3128 EAST HILLSBOROUGH AVENUE
Provider Second Line Business Practice Location Address:
DEDICATED SENIOR MEDICAL CENTER EAST TAMPA, LLC.
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-831-4761
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/19/2017