Provider First Line Business Practice Location Address:
11211 NO. NEBRASKA AVENUE, SUITE A-5
Provider Second Line Business Practice Location Address:
AMERICAN CARE OF TAMPA, INC.
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33612-5777
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-514-2333
Provider Business Practice Location Address Fax Number:
813-514-2216
Provider Enumeration Date:
03/09/2010