Provider First Line Business Practice Location Address:
4719 N HABANA AVE
Provider Second Line Business Practice Location Address:
TOWER BREAST DIAGNOSTIC CENTER HABANA
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33614-7105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-875-3787
Provider Business Practice Location Address Fax Number:
813-872-0378
Provider Enumeration Date:
04/11/2006