DEREK E FOMINAYA, II
Medical Practice at Spencer Pl, Valparaiso, FL

License number
Florida 523888
Issued Date
Oct 23, 2008
Effective Date
Sep 24, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
193 Spencer Pl, Valparaiso, FL 32580
Phone
(850) 240-4535
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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