KEITH R TIDWELL
Medical Practice at Homer St, Melbourne, FL

License number
Florida 537334
Issued Date
Oct 26, 2011
Effective Date
Jun 15, 2013
Expiration Date
Dec 1, 2012
Category
Health Care
Type
Emergency Medical Technician
Address
Address
1183 Homer St, Melbourne, FL 32907
Phone
(321) 446-3637
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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