Provider First Line Business Practice Location Address:
UNIVERSITY OF FLORIDA DEPT APK
Provider Second Line Business Practice Location Address:
FLG 160
Provider Business Practice Location Address City Name:
GAINESVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32611-8205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-392-0584
Provider Business Practice Location Address Fax Number:
352-392-5262
Provider Enumeration Date:
05/01/2007