IVAN K WHITAKER
Medical Practice at 20 Ave, Tampa, FL

License number
Florida 83632
Issued Date
Apr 17, 1997
Effective Date
Dec 2, 2016
Expiration Date
Dec 1, 2016
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
2508 E 20Th Ave, Tampa, FL 33617
1891 Jim Keene Blvd, Winter Haven, FL 33880
Phone
(813) 802-0948