ELVIS D DEREQUITO
Nursing at Northampton Ave, Orlando, FL

License number
Florida 9216547
Issued Date
May 21, 2004
Effective Date
May 21, 2004
Expiration Date
Apr 30, 2018
Category
Health Care
Type
Registered Nurse
Address
Address
2412 Northampton Ave, Orlando, FL 32828
Phone
(407) 737-0653
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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