Provider First Line Business Practice Location Address:
FLORIDA INTERNATIONAL UNIVERSITY CCF
Provider Second Line Business Practice Location Address:
ACADEMIC HEALTH CENTER 1, 11200 SW 8TH ST ROOM 140
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33199-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-348-0477
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/01/2023