Provider First Line Business Practice Location Address:
JACKSON HEALTH SYSTEM - 1611 N.W. 12TH AVENUE
Provider Second Line Business Practice Location Address:
DEVICE CENTER - WW 407
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33169
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-585-7443
Provider Business Practice Location Address Fax Number:
305-585-6872
Provider Enumeration Date:
01/17/2007