Provider First Line Business Practice Location Address:
2626 CAPITAL MEDICAL BLVD
Provider Second Line Business Practice Location Address:
CAPITAL REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
TALLAHASSEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32308-2202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-325-4048
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/25/2007