Provider First Line Business Practice Location Address:
FSU HEALTH LIFESTYLE MEDICINE CLINIC
Provider Second Line Business Practice Location Address:
1630 RIGGINS ROAD
Provider Business Practice Location Address City Name:
TALLAHASSEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-878-4434
Provider Business Practice Location Address Fax Number:
949-655-8526
Provider Enumeration Date:
11/27/2008