AMANDA A BALLIET
Medical Practice at 136 Ln, Summerfield, FL

License number
Florida 536821
Issued Date
Sep 6, 2011
Effective Date
Sep 6, 2011
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
4590 SE 136Th Ln, Summerfield, FL 34491
Phone
(352) 233-3755
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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