BRIAN P SOUTHALL
Medical Practice at Riv Dee Dr, Jacksonville, FL

License number

Florida 308077

Issued Date

May 27, 2003

Effective Date

Nov 3, 2016

Expiration Date

Dec 1, 2018

Category

Health Care

Type

Emergency Medical Technician

Address

Address

197 River Dee Dr, Jacksonville, FL 32259

Phone

(904) 645-0124

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