Provider First Line Business Practice Location Address:
1800 BARRS ST
Provider Second Line Business Practice Location Address:
ST VINCENT'S MEDICAL CENTER
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32204-4704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-308-7994
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/07/2006