Provider First Line Business Practice Location Address:
1381 SOUTH PATRICK DRIVE
Provider Second Line Business Practice Location Address:
PATRICK HEALTH CARE CLINIC
Provider Business Practice Location Address City Name:
PATRICK AFB
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32925
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-916-3000
Provider Business Practice Location Address Fax Number:
210-295-4895
Provider Enumeration Date:
10/24/2005