Provider First Line Business Practice Location Address:
3157 N UNIVERSITY DR, SUITE 107
Provider Second Line Business Practice Location Address:
PRIMARY CARE PROVIDERS OF AMERICA, LLC
Provider Business Practice Location Address City Name:
HOLLYWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33024-2258
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-990-0595
Provider Business Practice Location Address Fax Number:
954-990-0596
Provider Enumeration Date:
05/02/2007