Provider First Line Business Practice Location Address:
2275 S BABCOCK ST
Provider Second Line Business Practice Location Address:
BREVARD COUNTY HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
MELBOURNE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32901-5305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-454-7148
Provider Business Practice Location Address Fax Number:
321-690-3276
Provider Enumeration Date:
10/06/2006