KEITH J BASLER
Physician at Villa Venicia Way, Tampa, FL

License number
Florida 18920
Issued Date
May 21, 2013
Effective Date
May 21, 2013
Expiration Date
Jun 30, 2019
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address
907 Villa Venicia Way, Tampa, FL 33606
Phone
(573) 883-6430
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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