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.

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