EDWARD C RUSSELL
Medical Practice at Collins Ave, Orange City, FL

License number
Florida 532864
Issued Date
Oct 5, 2010
Effective Date
Jun 15, 2013
Expiration Date
Dec 1, 2012
Category
Health Care
Type
Emergency Medical Technician
Address
Address
1147 Collins Ave, Orange City, FL 32763
Phone
(321) 460-0783
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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