Provider First Line Business Practice Location Address:
1 UNIV OF N FL DR
Provider Second Line Business Practice Location Address:
STUDENT HEALTH SERVICES BUILDING 39A ROOM 2098
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32224-7699
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-620-2900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2013