Provider First Line Business Practice Location Address:
2475 EAST 5 AVE
Provider Second Line Business Practice Location Address:
CAC FLORIDA MEDICAL CENTER
Provider Business Practice Location Address City Name:
HIALEAH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-691-2000
Provider Business Practice Location Address Fax Number:
786-318-5978
Provider Enumeration Date:
08/09/2006