DIANA PORTLANCE
Medical Practice at Ave Capri, Lutz, FL

License number
Florida 29148
Issued Date
Jul 3, 1996
Effective Date
Jun 22, 1998
Expiration Date
Aug 31, 2018
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address 2
18624 Avenue Capri, Lutz, FL 33558
5400 Tech Data Dr, Clearwater, FL 33760
Phone
(813) 803-3374