Provider First Line Business Practice Location Address:
901 22ND AVENUE SOUTH
Provider Second Line Business Practice Location Address:
DEDICATED SENIOR MEDICAL CENTER ST. PETERSBURG, LLC.
Provider Business Practice Location Address City Name:
ST. PETERSBURG
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33705
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