Provider First Line Business Practice Location Address:
5005 PORT ST JOHN PKWY STE 2400
Provider Second Line Business Practice Location Address:
PARRISH MEDICAL GROUP
Provider Business Practice Location Address City Name:
PORT ST JOHN
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32927-4305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-636-0781
Provider Business Practice Location Address Fax Number:
321-636-9018
Provider Enumeration Date:
09/09/2005