FRED C EWALT
Physician Assistant at Wimbledon St, Leesburg, FL

License number
Florida 9101844
Issued Date
Nov 20, 2001
Effective Date
Jan 7, 2016
Expiration Date
Jan 31, 2016
Category
Health Care
Type
Physician Assistant
Address
Address
26545 Wimbledon St, Leesburg, FL 34748
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Fred Ewalt
Leesburg, FL
(352) 728-6626
Fred C Ewalt, age 68
26545 Wimbledon St, Leesburg, FL 34748
(352) 728-6626
Fred Ewalt
3405 Harbor Winds Way, Leesburg, FL 34748
(352) 460-0811

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