Provider First Line Business Practice Location Address:
1400 NW 14 CT.
Provider Second Line Business Practice Location Address:
MASTER MIND CARE, INC. ATTN: ELIZABETH EDWARDS
Provider Business Practice Location Address City Name:
FT. LAUDERDALE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
754-333-1196
Provider Business Practice Location Address Fax Number:
954-785-6120
Provider Enumeration Date:
05/22/2007