Provider First Line Business Practice Location Address:
NAVAL BRANCH HEALTH CLINIC NAS JAX
Provider Second Line Business Practice Location Address:
BLDG 9 64, BIRMINGHAM AVE.
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32214-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-546-7199
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/29/2016