DOUGLAS G TANITA
Physician at Bay St, Saint Petersburg, FL

License number
Florida 11632
Issued Date
Jun 7, 2007
Effective Date
Jun 18, 2010
Expiration Date
Jul 1, 2011
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address
1133 Bay St NE, Saint Petersburg, FL 33701
Phone
(818) 703-2542
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Douglas Tanita
Saint Petersburg, FL
(727) 954-4503

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