CLARK W SIMMONS, JR
Medical Practice at Lakeside Ln, Melbourne, FL

License number

Florida 306815

Issued Date

Dec 30, 2002

Effective Date

Jun 15, 2013

Expiration Date

Dec 1, 2012

Category

Health Care

Type

Emergency Medical Technician

Address

Address

3905 Lakeside Ln, Melbourne, FL 32909

Phone

(407) 267-6023

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