Blase A Prosperi
Physician at Clb Mnr Rd, Latrobe, PA

License number
Florida 24392
Issued Date
May 3, 2017
Effective Date
May 3, 2017
Expiration Date
Jun 30, 2019
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address 2
119 Club Manor Rd, Latrobe, PA 15650
1611 NW 12Th Ave, Miami, FL 33136
Phone
(724) 219-5747
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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