Provider First Line Business Practice Location Address:
1611 SW 12TH AVE, CENTRAL ROOM 455, MICU ADMIN OFFICES
Provider Second Line Business Practice Location Address:
JACKSON MEMORIAL HOSPITAL, UNIVERSITY OF MIAMI
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-585-6664
Provider Business Practice Location Address Fax Number:
305-585-0086
Provider Enumeration Date:
07/16/2007