Provider First Line Business Practice Location Address:
2 W DIXIE HWY
Provider Second Line Business Practice Location Address:
AMO CLINIC
Provider Business Practice Location Address City Name:
DANIA BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33004-4312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-412-2156
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/04/2006