Provider First Line Business Practice Location Address:
8274 BAYBERRY RD
Provider Second Line Business Practice Location Address:
UFJP BAYMEADOWS PEDIATRICS
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:
904-633-0800
Provider Business Practice Location Address Fax Number:
904-633-0381
Provider Enumeration Date:
02/25/2006