Provider First Line Business Practice Location Address:
5005 PORT ST JOHN PKWY # 2100
Provider Second Line Business Practice Location Address:
PARRISH MEDICAL GROUP
Provider Business Practice Location Address City Name:
PORT ST JOHN
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32927-4305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-433-2247
Provider Business Practice Location Address Fax Number:
321-635-9310
Provider Enumeration Date:
06/28/2007