Provider First Line Business Practice Location Address:
1611 N.W. JACKSON MEMORIAL HOSPITAL
Provider Second Line Business Practice Location Address:
12TH AVE., ACC EAST, SECOND FLOOR
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-585-5326
Provider Business Practice Location Address Fax Number:
305-326-8328
Provider Enumeration Date:
05/07/2007