FAUSTO R CARRASQUILLO
Physician Assistant at 11 St, Leesburg, FL

License number
Florida 9105255
Issued Date
Oct 12, 2009
Effective Date
Oct 12, 2009
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Physician Assistant
Address
Address 2
200 S 11Th St APT 101, Leesburg, FL 34748
1580 Santa Barbara Blvd, Lady Lake, FL 32159
Phone
(813) 732-2452
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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