Provider First Line Business Practice Location Address:
16521 NW 1ST AVE
Provider Second Line Business Practice Location Address:
UNITED CEREBRAL PALSY - HOME 3
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33169-6001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-949-8915
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2012