Provider First Line Business Practice Location Address:
16555 NW 25TH AVE
Provider Second Line Business Practice Location Address:
NORTH DADE HEALTH CENTER
Provider Business Practice Location Address City Name:
OPALOCKA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-466-1718
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2006