Provider First Line Business Practice Location Address:
801 SOUTHWEST 2ND AVE
Provider Second Line Business Practice Location Address:
DEPTARTMENT OF PATHOLOGY
Provider Business Practice Location Address City Name:
GAINESVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32601-6210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-338-6740
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/18/2006