Provider First Line Business Practice Location Address:
439 SW MICHIGAN ST.
Provider Second Line Business Practice Location Address:
MERIDIAN HEALTH
Provider Business Practice Location Address City Name:
LAKE CITY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
386-487-0800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/10/2014