Provider First Line Business Practice Location Address:
1500 SW 1ST AVE
Provider Second Line Business Practice Location Address:
MUNROE REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
OCALA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34474-4004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-402-5255
Provider Business Practice Location Address Fax Number:
352-402-5257
Provider Enumeration Date:
01/05/2007