Provider First Line Business Practice Location Address:
1400 NW 10TH AVE STE 510
Provider Second Line Business Practice Location Address:
DEPARTMENT OF UROLOGY UM MILER SCHOOL OF MEDICINE
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33136-1022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-243-6591
Provider Business Practice Location Address Fax Number:
305-243-9597
Provider Enumeration Date:
09/20/2007