Provider First Line Business Practice Location Address:
11200 SW 8TH ST.
Provider Second Line Business Practice Location Address:
PHARMED ARENA RM 156G
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33199
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-348-0131
Provider Business Practice Location Address Fax Number:
305-348-3673
Provider Enumeration Date:
05/04/2007