Provider First Line Business Practice Location Address:
8430 W BROWARD BLVD
Provider Second Line Business Practice Location Address:
CHILDRENS MEDICAL ASSOCIATION
Provider Business Practice Location Address City Name:
PLANTATION
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33324-2700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-722-0300
Provider Business Practice Location Address Fax Number:
954-473-8588
Provider Enumeration Date:
06/23/2006