EDWARD P WALLACE
Medical Practice at Muscovy Rd, Middleburg, FL

License number
Florida 508106
Issued Date
Dec 15, 2004
Effective Date
Jun 17, 2009
Expiration Date
Dec 1, 2008
Category
Health Care
Type
Emergency Medical Technician
Address
Address
5408 Muscovy Rd, Middleburg, FL 32068
Phone
(904) 282-5392
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Edward Wallace, age 72
607 Saint Clair St, Starke, FL 32091
(904) 608-2219
Edward Wallace, age 55
5708 Perch Dr N, Jacksonville, FL 32277
(904) 744-7507
Edward Wallace, age 41
3600 NW 21St St APT 103, Lauderdale Lakes, FL 33311
Edward Wallace
3867 Malec Cir, Sarasota, FL 34233
(941) 924-9886
Edward Wallace
3802 Benson Park Blvd, Orlando, FL 32829

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