Provider First Line Business Practice Location Address:
8274 BAYBERRY RD
Provider Second Line Business Practice Location Address:
UFJP BAYMEADOWS FAMILY PRACTICE
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32256-7470
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-737-3800
Provider Business Practice Location Address Fax Number:
904-737-2402
Provider Enumeration Date:
03/03/2006