Provider First Line Business Practice Location Address:
MEDICAL STAFF SVCS
Provider Second Line Business Practice Location Address:
BLDG H 2005 KNIGHT LANE
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32212-0140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-577-1825
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2019