BLAKE A ENRIQUEZ
Medical Practice at Wisconsin Ave, Tampa, FL

License number
Florida 505228
Issued Date
Jul 1, 2004
Effective Date
Jun 17, 2009
Expiration Date
Dec 1, 2008
Category
Health Care
Type
Emergency Medical Technician
Address
Address
3310 W Wisconsin Ave, Tampa, FL 33611
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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