Provider First Line Business Practice Location Address:
111 LAKE HOLLINGSWORTH DRIVE
Provider Second Line Business Practice Location Address:
FLORIDA SOUTHERN COLLEGE STUDENT HEALTH CENTER
Provider Business Practice Location Address City Name:
LAKELAND
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-680-4292
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2014