MR. HOMER LEO SAM QUEEN, C.N.S., C.C.N. M.T.
Medical Practice at Celebration Ave, Kissimmee, FL

License number
Florida CNS CERT # 00331
Category
Dietitian and Nutritionist
Type
Nutritionist
License number
Florida MT(ASCP) 052277
Category
Technologists
Type
Medical Technologist
License number
Florida MA CENTRAL MICHIGAN
Category
Medical Practice
Type
Health Educator
Address
Address 2
1411 Celebration Ave UNIT 310, Kissimmee, FL 34747
7380 W Sand Lake Rd SUITE 500, Orlando, FL 32819
Phone
(407) 566-8551
(719) 331-1848
(719) 548-1785 (Fax)
National Provider ID: 1295022457
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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