Provider First Line Business Practice Location Address:
4500 W MIDWAY RD
Provider Second Line Business Practice Location Address:
NEW HORIZONS OF THE TREASURE COAST INC
Provider Business Practice Location Address City Name:
FT PIERCE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34981
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
772-221-4088
Provider Business Practice Location Address Fax Number:
772-221-4089
Provider Enumeration Date:
05/19/2006