EDGARDO B OTAKAN
Medical Practice at Small Mouth Way, Riverview, FL

License number
Florida 38470
Issued Date
Jan 27, 2004
Effective Date
Oct 4, 2016
Expiration Date
Aug 31, 2016
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address 2
13502 Small Mouth Way, Riverview, FL 33569
12902 Magnolia Dr, Tampa, FL 33612
Phone
(813) 391-2739
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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