Provider First Line Business Practice Location Address:
1962 N JOHN YOUNG PKWY
Provider Second Line Business Practice Location Address:
USA MED CARE
Provider Business Practice Location Address City Name:
KISSIMMEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34741
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-935-0623
Provider Business Practice Location Address Fax Number:
407-809-5245
Provider Enumeration Date:
11/02/2005