Provider First Line Business Practice Location Address:
401 NW 42 AVE
Provider Second Line Business Practice Location Address:
PLANTATION GENERAL HOSPITAL
Provider Business Practice Location Address City Name:
PLANTATION
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-587-5010
Provider Business Practice Location Address Fax Number:
954-473-6200
Provider Enumeration Date:
03/09/2006