Provider First Line Business Practice Location Address:
2851 TAMPA RD
Provider Second Line Business Practice Location Address:
HEARTLAND CARE PARTNERS / MCHS PALM HARBOR
Provider Business Practice Location Address City Name:
PALM HARBOR
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34684-3314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-375-5495
Provider Business Practice Location Address Fax Number:
800-564-5952
Provider Enumeration Date:
09/11/2009