BLAKE I WILDER
Medical Practice at Hanna Ave, Tampa, FL

License number
Florida 86247
Issued Date
Jun 5, 1998
Effective Date
Sep 29, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
2709 E Hanna Ave, Tampa, FL 33610
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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