Provider First Line Business Practice Location Address:
BLDG. H 2005 KNIGHT LANE ATTN: MEDICAL STAFF SERVICES
Provider Second Line Business Practice Location Address:
NAVY MEDICINE SUPPORT COMMAND
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
92055-0140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-361-9254
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/23/2009