CHARLES C SUMMERALL, JR
Medical Practice at Suwannee Ave, Dowling Park, FL

License number
Florida 512163
Issued Date
Nov 23, 2005
Effective Date
Jul 6, 2015
Expiration Date
Dec 1, 2014
Category
Health Care
Type
Emergency Medical Technician
Address
Address
823 Suwannee Ave, Dowling Park, FL 32064
Phone
(386) 364-5641
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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