Provider First Line Business Practice Location Address:
303 NO. CLYDE MORRIS BLVD., ROC
Provider Second Line Business Practice Location Address:
HALIFAX HEALTH CENTER FOR ONCOLOGY
Provider Business Practice Location Address City Name:
DAYTONA BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32114-2709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
386-254-4211
Provider Business Practice Location Address Fax Number:
386-254-4038
Provider Enumeration Date:
07/18/2006