DIANA M PROVOST
Nursing at Cedarbrook St, Lake Placid, FL

License number
Florida 2218982
Issued Date
Apr 15, 1991
Effective Date
Oct 29, 2012
Expiration Date
Jul 31, 2018
Category
Health Care
Type
Registered Nurse
Address
Address 2
1515 Cedarbrook St, Lake Placid, FL 33852
4200 N Sun N Lake Blvd, Sebring, FL 33852
Phone
(904) 238-9519
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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