LARA E TATE
Physician Assistant at Broward Blvd, Fort Lauderdale, FL

License number
Florida 9101529
Issued Date
Jan 16, 2001
Effective Date
Feb 14, 2012
Expiration Date
Jan 31, 2010
Category
Health Care
Type
Physician Assistant
Address
Address
13011 W Broward Blvd, Fort Lauderdale, FL 33325