Provider First Line Business Practice Location Address:
6TH MEDICAL GROUP, FLIGHT MEDICINE CLINIC
Provider Second Line Business Practice Location Address:
3250 ZEMKE AVE, BLDG 1078
Provider Business Practice Location Address City Name:
MACDILL AFB
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33621-5202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-827-9805
Provider Business Practice Location Address Fax Number:
813-828-5060
Provider Enumeration Date:
08/30/2007