Provider First Line Business Practice Location Address:
13000 BRUCE B, DOWNS BOULEVARD
Provider Second Line Business Practice Location Address:
JAMES A. HALEY VETERANS HOSPITAL
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33612-4745
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-998-8000
Provider Business Practice Location Address Fax Number:
813-971-2429
Provider Enumeration Date:
07/19/2006