JOHN R DACOSTA
Medical Practice at 122 Ter, Fort Lauderdale, FL

License number
Florida 511091
Issued Date
Oct 5, 2005
Effective Date
Jun 17, 2009
Expiration Date
Dec 1, 2008
Category
Health Care
Type
Emergency Medical Technician
Address
Address
3740 NW 122Nd Ter, Fort Lauderdale, FL 33323
Phone
(954) 292-5262
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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