Provider First Line Business Practice Location Address:
1800 N FEDERAL HIGHWAY
Provider Second Line Business Practice Location Address:
SUITE 207, C/O LINTZERIS MEDICAL CENTER
Provider Business Practice Location Address City Name:
POMPANO BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33062
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-298-8048
Provider Business Practice Location Address Fax Number:
954-781-2291
Provider Enumeration Date:
07/12/2006