JORDAN A BACON
Medical Practice at Pratt St, Kingsley Lake, FL

License number
Florida 510442
Issued Date
Aug 3, 2005
Effective Date
Aug 3, 2005
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
1403 W Pratt St, Kingsley Lake, FL 32091
911 SE 5Th St, Gainesville, FL 32601
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Jordan Bacon, age 37
15274 Ne 14Th Ave, Starke, FL 32091
(904) 964-4133

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