Provider First Line Business Practice Location Address:
2080 CHILD ST NMRTC JACKSONVILLE EMERGENCY DEPARTMENT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32214-6101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-542-7345
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2007