Provider First Line Business Practice Location Address:
311 NORTH CLYDE MORRIS BLVD., SUITE 480
Provider Second Line Business Practice Location Address:
HALIFAX CENTER FOR TRANSPLANT SERVICES
Provider Business Practice Location Address City Name:
DAYTONA BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32114-2766
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
386-947-4650
Provider Business Practice Location Address Fax Number:
386-947-4690
Provider Enumeration Date:
07/10/2006