Provider First Line Business Practice Location Address:
1605 N MYRTLE AVE
Provider Second Line Business Practice Location Address:
UFJAX - UF HEALTH WELLNESS & EDUCATION CENTER
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32209-9618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-350-1197
Provider Business Practice Location Address Fax Number:
904-350-9651
Provider Enumeration Date:
02/08/2007