Provider First Line Business Practice Location Address:
9555 SW 162ND AVE
Provider Second Line Business Practice Location Address:
WKBH INPATIENT MEDICINE SPECIALIST PROGRAM
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33196-8319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-467-2154
Provider Business Practice Location Address Fax Number:
786-533-9703
Provider Enumeration Date:
05/31/2007