CARONIA P WALLACE
Osteopathic Medicine at Eldridge Ave, Orange Park, FL

License number
Florida 4128
Issued Date
May 16, 2014
Effective Date
Jun 15, 2016
Expiration Date
Jun 30, 2017
Category
Health Care
Type
Osteopathic Resident Registration
Address
Address 2
3869 Eldridge Ave, Orange Park, FL 32073
653 W 8Th St BOX L-15, Jacksonville, FL 32209
Phone
(305) 331-6955
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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