Provider First Line Business Practice Location Address:
1750 17TH STREET BUILDING E SALLY AND SAM
Provider Second Line Business Practice Location Address:
SHAPIRO BABIES AND CHILDREN MEDICAL CENTER
Provider Business Practice Location Address City Name:
SARASOTA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-861-1400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2017