Provider First Line Business Practice Location Address:
1850 NW 9TH AVE
Provider Second Line Business Practice Location Address:
RYDER TRAUMA T-242
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-585-1280
Provider Business Practice Location Address Fax Number:
305-585-6043
Provider Enumeration Date:
01/30/2009