BLAINE E WISE
Medical Practice at Lighthouse Dr, West Palm Beach, FL

License number
Florida 551573
Issued Date
Jan 27, 2016
Effective Date
Sep 25, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
428 Lighthouse Dr, West Palm Beach, FL 33408
Phone
(561) 459-7415
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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