BLAKE R SULLIVAN
Medical Practice at 84 St Cir, Parrish, FL

License number
Florida 536684
Issued Date
Aug 22, 2011
Effective Date
Nov 2, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
11562 84Th Street Cir E, Parrish, FL 34219
2709 E Hanna Ave, Tampa, FL 33610
Phone
(941) 518-6146
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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