Provider First Line Business Practice Location Address:
3100 SW 62 AVE
Provider Second Line Business Practice Location Address:
MIAMI CHILDREN'S HOSPITAL
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33155
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-624-3588
Provider Business Practice Location Address Fax Number:
305-662-8291
Provider Enumeration Date:
08/09/2011