Provider First Line Business Practice Location Address:
736 N MAGNOLIA AVE
Provider Second Line Business Practice Location Address:
ADVANCED PSYCHIATRIC GROUP, P.A.
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32803-3809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-423-7149
Provider Business Practice Location Address Fax Number:
407-422-0470
Provider Enumeration Date:
11/21/2006