DERRICK A FONTAINE
Medical Practice at Lk Amhurst Trl, Orlando, FL

License number
Florida 529012
Issued Date
Dec 8, 2009
Effective Date
Jun 17, 2011
Expiration Date
Dec 1, 2010
Category
Health Care
Type
Emergency Medical Technician
Address
Address
8396 Lake Amhurst Trl, Orlando, FL 32829
Phone
(516) 361-4081
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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