Provider First Line Business Practice Location Address:
6161 NW 5 COURT
Provider Second Line Business Practice Location Address:
MIAMI EDISON SENIOR HIGH
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33127
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-751-7337
Provider Business Practice Location Address Fax Number:
305-759-4561
Provider Enumeration Date:
09/22/2015