BASIL BIRCH
Nursing at Polynesia Rd, Venice, FL

License number
Florida 9164250
Issued Date
Dec 20, 1999
Effective Date
Mar 1, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address 2
4135 Polynesia Rd, Venice, FL 34288
2295 Victoria Ave, Fort Myers, FL 33901
Phone
(239) 335-1315
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Basil Birch, age 60
4135 Polynesia Rd, North Port, FL 34288
Basil Birch, age 60
PO Box 496255, Pt Charlotte, FL 33949
Basil A Birch, age 60
2516 Atwater Dr, North Port, FL 34286
Basil Birch
4135 Polynesia Rd, North Port, FL 34286

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