ALTON G DECLAIRE, IV
Medical Practice at Pleasant Vw Ave, Ruskin, FL

License number
Florida 511699
Issued Date
Oct 27, 2005
Effective Date
Oct 27, 2005
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
2204 Pleasant View Ave, Ruskin, FL 33570
1760 County Line Rd, Lakeland, FL 33811
Phone
(863) 709-3754
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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