Provider First Line Business Practice Location Address:
UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE AT HOLY C
Provider Second Line Business Practice Location Address:
4725 NORTH FEDERAL HIGHWAY 1ST FLOOR ROOM 1371
Provider Business Practice Location Address City Name:
FORT LAUDERDALE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-938-3359
Provider Business Practice Location Address Fax Number:
954-492-5790
Provider Enumeration Date:
04/15/2022