Provider First Line Business Practice Location Address:
230 S BARFIELD HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PAHOKEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33476-1834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-924-5561
Provider Business Practice Location Address Fax Number:
561-924-9466
Provider Enumeration Date:
08/10/2005